Individual
MICHAEL C BEAUDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1112 S MILL ST, NEW CASTLE, PA 16101-4629
(724) 658-4564
(724) 657-8563
Mailing address
63 PITT ST, SHARON, PA 16146-2102
(724) 658-4564
(724) 657-8563
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
36-00-3157
OH
213E00000X
Podiatrist
Primary
SC-00-4647 R
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01900612
—
PA
05
—
2316836
—
OH
05
—
2701192-000
—
WV
Enumeration date
06/30/2005
Last updated
10/10/2024
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