William Beaumont Hospital
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Royal Oak, MI. Organization (NPI-2).
NPI number1033168331
StatusActive
Last updated in NPPESOct 1, 2021
Details
- NPI
- 1033168331
- Entity type
- Organization (NPI-2)
- Legal business name
- William Beaumont Hospital
- Organization subpart
- Yes
- Enumeration date
- May 6, 2006
- Certification date
- Oct 1, 2021
- Last updated
- Oct 1, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | – | – | Yes |
Other names
- Beaumont Professional Services/Thoracic Surgery (Doing Business As)
Practice location
3601 W 13 Mile Rd400 Fsc-Pcs
Royal Oak, MI 48073-6712
Phone 248-423-3754
Mailing address
26901 Beaumont BlvdCompliance
Southfield, MI 48033-3849
Phone 947-522-1964
Authorized official
Lee Ann Odom
President Shared Services
9475223326
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