Healthcare Provider Details

I. General information

NPI: 1609702935
Provider Name (Legal Business Name): ISABELLA RUTH BEYER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BELLA BEYER

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3351 EAGLE RUN DR NE STE B
GRAND RAPIDS MI
49525-7070
US

IV. Provider business mailing address

3425 POINSETTIA AVE SE
GRAND RAPIDS MI
49508-2567
US

V. Phone/Fax

Practice location:
  • Phone: 661-618-9671
  • Fax:
Mailing address:
  • Phone: 661-618-9671
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number5402000338
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: