Organization · Type 2 NPI

Beaumont Health

Clinic/Center · Southgate, MI

NPI number 1497290456 Active

Practice location

15777 Northline
Southgate, MI 48195

Mailing address

17801 Snow
Dearborn, MI 48124

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000X4704208352 (MI)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1497290456

Beaumont Health's National Provider Identifier is 1497290456, issued on Dec 30, 2016. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Southgate, MI. The record was last updated on Dec 30, 2016.