| Beaumont Medical Group- Specialty Services | |
|
1949 12 Mile Rd Berkley MI 48072-1868 | |
| (248) 551-0615 | |
| Not Available |
| Full Name | Beaumont Medical Group- Specialty Services |
|---|---|
| Speciality | Internal Medicine |
| Location | 1949 12 Mile Rd, Berkley, Michigan |
| Authorized Official Name and Position | Matthew E Cox (CFO) |
| Authorized Official Contact | 6164866790 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beaumont Medical Group- Specialty Services 100 Michigan St Ne Grand Rapids MI 49503-2560 | Beaumont Medical Group- Specialty Services 1949 12 Mile Rd Berkley MI 48072-1868 Ph: (248) 551-0615 |
| NPI Number | 1487501649 |
|---|---|
| Provider Enumeration Date | 03/16/2026 |
| Last Update Date | 03/16/2026 |
| Certification Date | 03/16/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487501649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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