Organization
HPCN
Active
Other names
Hackley Lakes OBGYN
Organization subpart
No
Provider details
NPI number
Authorized official
R MICHAEL BEAHAN (MGR)
(231) 728-1676
Entity
Organization
Contact information
Practice address
6401 PRAIRIE ST, 2100, MUSKEGON, MI 49444-7840
(231) 727-7939
(231) 727-7935
Mailing address
6401 PRAIRIE ST, 2100, MUSKEGON, MI 49444-7840
(231) 727-7939
(231) 727-7935
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
—
—
Other
Enumeration date
07/28/2006
Last updated
08/22/2020
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