| Dale W. Beaumont, M.d., P.c. | |
|
42633 Garfield Rd Ste 318 Clinton Township MI 48038-5033 | |
| (586) 286-7670 | |
| (586) 286-5179 |
| Full Name | Dale W. Beaumont, M.d., P.c. |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 42633 Garfield Rd Ste 318, Clinton Township, Michigan |
| Authorized Official Name and Position | Dale W Beaumont (PRESIDENT) |
| Authorized Official Contact | 5862867670 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dale W. Beaumont, M.d., P.c. 42633 Garfield Rd Ste 318 Clinton Township MI 48038-5033 Ph: (586) 286-7670 | Dale W. Beaumont, M.d., P.c. 42633 Garfield Rd Ste 318 Clinton Township MI 48038-5033 Ph: (586) 286-7670 |
| NPI Number | 1144495193 |
|---|---|
| Provider Enumeration Date | 04/29/2008 |
| Last Update Date | 04/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144495193 | NPI | - | NPPES |
| 2132199 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 4301034186 (Michigan) | Primary |
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