Individual
DR. JOHN E BEATHLER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D,
Contact information
Practice address
2511 OAKSTONE DR, COLUMBUS, OH 43231-7612
(614) 523-2155
(614) 523-0507
Mailing address
PO BOX 1500, NOVI, MI 48376-1500
(248) 324-0700
(248) 324-1477
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-07-2627
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2068283
—
OH
Enumeration date
11/30/2005
Last updated
12/10/2007
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