Healthcare Provider Details

I. General information

NPI: 1336341536
Provider Name (Legal Business Name): PATRICK JOSEPH BEECHER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 RENAISSANCE DRIVE MS 482-C10-092 GMC
DETROIT MI
48265-3000
US

IV. Provider business mailing address

21733 SHEFFIELD DRIVE
FARMINGTON HILLS MI
48335
US

V. Phone/Fax

Practice location:
  • Phone: 313-665-1618
  • Fax: 313-665-1652
Mailing address:
  • Phone: 248-442-1377
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number4301045970
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: