Organization
BEAUMONT MEDICAL GROUP- SPECIALTY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN MANER (SR. VP, BEAUMONT PHYSICIAN PARTNERS)
(947) 522-1912
Entity
Organization
Contact information
Practice address
6900 ORCHARD LAKE RD STE 100, WEST BLOOMFIELD, MI 48322-3424
(248) 898-5000
Mailing address
26901 BEAUMONT BOULEVARD, STE. 3D, SOUTHFIELD, MI 48033-3849
(947) 522-1857
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/16/2017
Last updated
02/11/2019
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