Individual
ASHLEY BEALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-2674
Mailing address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4351046193
MI
Other
Enumeration date
06/10/2020
Last updated
06/10/2020
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