William Beaumont Hospital

NPI #1104040153 in Royal Oak, Michigan

Provider Information

NPI Number: 1104040153
Entity Type: Organization
Organization Name: William Beaumont Hospital
Subpart: Yes (part of a larger organization)
Parent Organization: WILLIAM BEAUMONT HOSPITAL
Primary Specialty: Pediatrics
Enumeration Date: Apr 12, 2007
Last Updated: Oct 1, 2021

Practice Location

Address: 3601 W 13 MILE RD
City: Royal Oak
State: Michigan
ZIP Code: 48073-6712
Phone: (248) 423-2454

Authorized Official

Name: LEE ANN ODOM
Title: PRESIDENT SHARED SERVICES
Phone: (947) 522-3326

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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