Organization
BEAUMONT MEDICAL GROUP HOSPITAL -BASED SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN SCOTT MANER (SR. VP, BEAUMONT PHYSICIAN PARTNERS)
(947) 522-1912
Entity
Organization
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-5000
Mailing address
26901 BEAUMONT BOULEVARD, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
09/28/2017
Last updated
10/26/2021
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