Individual
DONNIE S BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
310 WHITE OAK RD, LAWTON, MI 49065-9705
(269) 624-2031
(269) 624-2261
Mailing address
PO BOX 178, PAW PAW, MI 49079-0178
(269) 657-2550
(269) 657-2285
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101010940
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114995271
—
MI
Enumeration date
07/25/2006
Last updated
06/11/2008
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