Beaumont Professional Services/geriatrics | |
3601 W 13 Mile Rd Royal Oak MI 48073-6712 | |
(248) 423-2454 | |
Not Available |
Full Name | Beaumont Professional Services/geriatrics |
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Speciality | Internal Medicine - Geriatric Medicine |
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 |
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Beaumont Professional Services/geriatrics 26901 Beaumont Blvd Compliance Southfield MI 48033-3849 Ph: (947) 522-1964 | Beaumont Professional Services/geriatrics 3601 W 13 Mile Rd Royal Oak MI 48073-6712 Ph: (248) 423-2454 |
NPI Number | 1073562898 |
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Provider Enumeration Date | 05/09/2006 |
Last Update Date | 10/01/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073562898 | NPI | - | NPPES |
110F376980 | Other | MI | BCBSM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
Beaumont Professional Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-585-8271 Fax: 248-585-8266 | |
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Beaumont Professional Services/infectious Disease Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-423-2454 |