Individual
DR. MARY ELEANOR BEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3837 W. FRONT ST, SUITE H, TRAVERSE CITY, MI 49684
(231) 935-8878
(231) 935-8901
Mailing address
3837 W FRONT ST, STE H, TRAVERSE CITY, MI 49684-6024
(231) 935-8878
(231) 935-8901
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
4301050919
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1102810071
BLUE CROSS/BLUE SHIELD
MI
05
—
4980484
—
MI
Enumeration date
10/03/2006
Last updated
08/06/2008
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