Individual
DR. HOWARD ALAN BEADNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2124 WOODCLIFF AVE. SE, GRAND RAPIDS, MI 49546-5711
(616) 240-7922
Mailing address
2124 WOODCLIFF AVE. SE, GRAND RAPIDS, MI 49546-5711
(616) 240-7922
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4301035366
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0415670
BLUE CROSS
MI
05
—
2100239
—
MI
Enumeration date
10/02/2006
Last updated
07/08/2007
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