Organization · Type 2 NPI

William Beaumont Hospital

Geriatric Medicine (Internal Medicine) Physician · Royal Oak, MI

NPI number 1073562898 Active

Practice location

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712

Call (248) 423-2454 Map

Mailing address

26901 Beaumont Blvd, Compliance
Southfield, MI 48033-3849

Specialties and licenses

Taxonomy	Code	License
Geriatric Medicine (Internal Medicine) Physician Primary	207RG0300X	None listed

Geriatric Medicine (Internal Medicine) Physician: An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

1,715 other providers at this address

NPI record

NPI: 1073562898
Entity type: Organization (Type 2)
Issued: May 9, 2006
Last updated: Oct 1, 2021
Status: Active
Subpart: Yes of Willilam Beaumont Hospital

Other names

<unavail>
Beaumont Professional Services/geriatrics · doing business as
Beaumont Professional Services/geriatrics · doing business as

Authorized official

Lee Ann Odom
President Shared Services
(947) 522-3326

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1073562898

William Beaumont Hospital's National Provider Identifier is 1073562898, issued on May 9, 2006. The primary taxonomy on file is Geriatric Medicine (Internal Medicine) Physician (207RG0300X), and the practice location is in Royal Oak, MI. The record was last updated on Oct 1, 2021.