NPI 1033168331

William Beaumont Hospital

Organisation Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Royal Oak, MI

Practice location

Address: 3601 W 13 Mile Rd 400 Fsc-Pcs, Royal Oak, MI 48073-6712
Phone: (248) 423-3754
Mailing address: 26901 Beaumont Blvd Compliance, Southfield, MI 48033-3849

Authorised official

Name: Lee Ann Odom
Title: President Shared Services
Phone: (947) 522-3326

Registered specialties

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208G00000X

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Registry record

NPI: 1033168331
Entity type: Organization
NPI issued: 6 May 2006
Record last updated: 1 Oct 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.