Organization · Type 2 NPI

William Beaumont Hospital

Pediatrics Physician · Royal Oak, MI

NPI number 1104040153 Active

Practice location

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

Call (248) 423-2454 Map

Fax (248) 423-2576

Mailing address

26901 Beaumont Blvd, Compliance
Southfield, MI 48033-3849

Specialties and licenses

Taxonomy	Code	License
Pediatrics Physician Primary	208000000X	None listed

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

1,715 other providers at this address

Other pediatrics physician providers in Royal Oak

See all in Royal Oak →

NPI record

NPI: 1104040153
Entity type: Organization (Type 2)
Issued: Apr 12, 2007
Last updated: Oct 1, 2021
Status: Active
Subpart: Yes of William Beaumont Hospital

Other names

<unavail>
Beaumont Professional Services · doing business as
Beaumont Professional Services · 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 1104040153

William Beaumont Hospital's National Provider Identifier is 1104040153, issued on Apr 12, 2007. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Royal Oak, MI. The record was last updated on Oct 1, 2021.