| Beaumont Professional Sevices | |
|
3601 W 13 Mile Rd Royal Oak MI 48073-6712 | |
| (248) 585-8271 | |
| (248) 585-8266 |
| Full Name | Beaumont Professional Sevices |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 3601 W 13 Mile Rd, Royal Oak, Michigan |
| Authorized Official Name and Position | Lee Ann Odom (PRESIDENT SHARED SERVICES) |
| Authorized Official Contact | 9475223326 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beaumont Professional Sevices 26901 Beaumont Blvd Compliance Southfield MI 48033-4716 Ph: (941) 522-1964 | Beaumont Professional Sevices 3601 W 13 Mile Rd Royal Oak MI 48073-6712 Ph: (248) 585-8271 |
| NPI Number | 1316996333 |
|---|---|
| Provider Enumeration Date | 05/08/2006 |
| Last Update Date | 10/01/2021 |
| Certification Date | 10/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316996333 | NPI | - | NPPES |
| 0F36153 | Other | MI | BCBSM GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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