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Organization

BEAUMONT MEDICAL GROUP- SPECIALTY SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MATTHEW E COX (CFO)
(616) 486-6790
Entity
Organization

Contact information

Practice address
1949 12 MILE RD, BERKLEY, MI 48072-1868
(248) 551-0615
Mailing address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
03/16/2026
Last updated
03/16/2026
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