Organization · NPI-2

Beaumont Medical Group- Specialty Services

Internal Medicine · Trenton, MI

NPI number1902755259
StatusActive
Last updated in NPPESJan 28, 2026

Details

NPI
1902755259
Entity type
Organization (NPI-2)
Legal business name
Beaumont Medical Group- Specialty Services
Organization subpart
No
Enumeration date
Jan 28, 2026
Certification date
Jan 28, 2026
Last updated
Jan 28, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes

Practice location

5450 Fort St
Trenton, MI 48183-4601

Phone 734-642-2363

Mailing address

100 Michigan St Ne # Mc845
Grand Rapids, MI 49503-2560

Authorized official

Matthew E Cox
Cfo
6164866790

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