Beacon Medical Group, Inc.
NPI #1205852365 in Edwardsburg, Michigan
Provider Information
- NPI Number
- 1205852365
- Entity Type
- Organization
- Organization Name
- Beacon Medical Group, Inc.
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jul 14, 2006
- Last Updated
- May 3, 2023
Practice Location
- Address
- 27082 W MAIN STREET
- City
- Edwardsburg
- State
- Michigan
- ZIP Code
- 49112-9334
- Phone
- (269) 663-8288
Authorized Official
- Name
- MR. JEFF P COSTELLO
- Title
- CFO
- Phone
- (574) 647-3549
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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