Beaumont Medical Group- Specialty Services
Internal Medicine in Berkley, MI. Organization (NPI-2).
NPI number1487501649
StatusActive
Last updated in NPPESMar 16, 2026
Details
- NPI
- 1487501649
- Entity type
- Organization (NPI-2)
- Legal business name
- Beaumont Medical Group- Specialty Services
- Organization subpart
- No
- Enumeration date
- Mar 16, 2026
- Certification date
- Mar 16, 2026
- Last updated
- Mar 16, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Practice location
1949 12 Mile RdBerkley, MI 48072-1868
Phone 248-551-0615
Mailing address
100 Michigan St NeGrand Rapids, MI 49503-2560
Authorized official
Matthew E Cox
Cfo
6164866790
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