Individual provider · Type 1 NPI

Norman Joseph Beauchamp Iii, MD

Student in an Organized Health Care Education/Training Program · Grand Rapids, MI

NPI number 1114614567 Active

Practice location

100 Michigan St NE Ste A601
Grand Rapids, MI 49503-2560

Call (616) 391-3570 Map

Mailing address

6201 Greenleigh Ave
Middle River, MD 21220-2004

Other practice locations

  • 1800 Orleans St, Baltimore, MD 21287-0010 · (410) 955-8893

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202X4351051596 (MI)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114614567

Norman Joseph Beauchamp Iii, MD's National Provider Identifier is 1114614567, issued on Apr 18, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Grand Rapids, MI. The record was last updated on Jun 11, 2024.