Dr. Michael Edward Beane, MD
Family Medicine in Vienna, WV. Individual provider (NPI-1).
NPI number1669471561
StatusActive
Last updated in NPPESJun 15, 2011
Details
- NPI
- 1669471561
- Entity type
- Individual (NPI-1)
- Name
- Dr. Michael Edward Beane
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 21, 2005
- Last updated
- Jun 15, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 19118 | WV | Yes |
| 207Q00000X | Family Medicine | 35073683 | OH |
Practice location
1500 Grand Central AveVienna, WV 26105-1079
Phone 304-485-3627 · Fax 304-295-2315
Mailing address
2 Merrywood LnVienna, WV 26105-9488
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