Organization · Type 2 NPI
Beaumont Hospital Grosse Pointe
Primary Care Clinic/Center · St. Clair Shores, MI
NPI number
1699962142
Active
Practice location
25901 Jefferson Ave, Suite 200
St. Clair Shores, MI 48081-2333
Fax (586) 447-4180
Mailing address
26901 Beaumont Blvd, Compliance
Southfield, MI 48033-4716
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
Another provider at this address
Other primary care clinic/center providers in St. Clair Shores
About NPI 1699962142
Beaumont Hospital Grosse Pointe's National Provider Identifier is 1699962142, issued on Sep 28, 2007. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in St. Clair Shores, MI. The record was last updated on Oct 7, 2021.