Individual
DR. MARSHA R BEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
20548 FENKELL ST, DETROIT, MI 48223-1613
(313) 255-3333
(313) 255-4335
Mailing address
4777 E OUTER DR, DETROIT, MI 48234-3241
(313) 369-1960
(313) 369-1977
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301407503
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08-0824561-2
BCBSM PIN NUMBER
MI
01
—
1144371279
ADVANTAGE FAMILY HEALTH CENTER
MI
01
—
1396839981
WALLER HEALTH CARE FOR THE HOMELESS CENTER
MI
01
—
1871645309
THEA BOWMAN COMMUNITY HEALTH CENTER
MI
05
—
4763959
—
MI
Enumeration date
07/07/2006
Last updated
07/30/2008
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