Beaumont Medical Group- Specialty Services
Internal Medicine in Dearborn, MI. Organization (NPI-2).
NPI number1093691065
StatusActive
Last updated in NPPESAug 14, 2025
Details
- NPI
- 1093691065
- Entity type
- Organization (NPI-2)
- Legal business name
- Beaumont Medical Group- Specialty Services
- Organization subpart
- No
- Enumeration date
- Aug 14, 2025
- Certification date
- Aug 14, 2025
- Last updated
- Aug 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Other names
- Corewell Health Medical Group East (Doing Business As)
Practice location
18200 Oakwood BlvdDearborn, MI 48124-5025
Phone 947-524-2760
Mailing address
100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Authorized official
Matthew E Cox
Cfo
6162954264
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