Organization
BEAUMONT MEDICAL GROUP- SPECIALTY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW E COX (CFO)
(616) 486-6790
Entity
Organization
Contact information
Practice address
5450 FORT ST, TRENTON, MI 48183-4601
(734) 642-2363
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/28/2026
Last updated
01/28/2026
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