Organization
CCMA-BT PLLC
Active
Other names
CCMABT Beaumont
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL W HAYDON M.D. (PRESIDENT)
(313) 271-5565
Entity
Organization
Contact information
Practice address
18181 OAKWOOD BLVD, SUITE 208, DEARBORN, MI 48124-5032
(313) 271-5565
(313) 271-1053
Mailing address
18181 OAKWOOD BLVD, SUITE 208, DEARBORN, MI 48124-5032
(313) 271-5565
(313) 271-1053
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
06/29/2016
Last updated
04/24/2023
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