Beacon Medical Group, Inc.

NPI #1487036869 in Buchanan, Michigan

Provider Information

NPI Number: 1487036869
Entity Type: Organization
Organization Name: Beacon Medical Group, Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: BEACON HEALTH SYSTEM, INC.
Primary Specialty: Family Medicine
Enumeration Date: Jun 23, 2015
Last Updated: Sep 20, 2016

Practice Location

Address: 804 E FRONT ST
City: Buchanan
State: Michigan
ZIP Code: 49107-1444
Phone: (269) 695-3897

Authorized Official

Name: MR. JEFFREY P. COSTELLO
Title: CFO
Phone: (574) 647-3549

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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