Organization
BEAUMONT WEIGHT CONTROL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEE ANN ODOM (PRESIDENT SHARED SERVICES)
(947) 522-3326
Entity
Organization
Contact information
Practice address
4949 COOLIDGE HWY, ROYAL OAK, MI 48073-1026
(248) 655-5900
(248) 655-5901
Mailing address
26901 BEAUMONT BLVD, SOUTHFIELD, MI 48033-3849
(947) 522-1964
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/01/2007
Last updated
10/01/2021
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