Organization
BEAUMONT HEALTH SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLEY FLYNT M.D. (RESIDENT PHYSICIAN)
(912) 585-4270
Entity
Organization
Contact information
Practice address
3601 W. 13 MILE RD, ROYAL OAK, MI 48073
(912) 585-4270
Mailing address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-4126
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
200697
PA
Other
Enumeration date
09/12/2011
Last updated
09/14/2012
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