Healthcare Provider Details

I. General information

NPI: 1346656667
Provider Name (Legal Business Name): DAVID BEIHL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2014
Last Update Date: 11/07/2025
Certification Date: 11/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2463 S M 30
WEST BRANCH MI
48661-9312
US

IV. Provider business mailing address

5753 HIGHWAY 85 N # 357
CRESTVIEW FL
32536-9365
US

V. Phone/Fax

Practice location:
  • Phone: 989-345-3660
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number32818
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberUNLICENSED
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: