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NPI Code Detail

MEDICARE: DR. DONALD SAMUEL BEAM III M.D.

MEDICARE:  DR. DONALD SAMUEL BEAM III M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician4301041919MI

General Provider Information

NPI Number : 1578754461
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DONALD SAMUEL BEAM III M.D.
Provider Business Mailing Address
First Line : 100 W BIG BEAVER RD
Second Line : SUITE 600
City : TROY
State : MI
Zip : 48084-5206
Country : US
Telephone Number : 248-925-1704
Fax Number : 248-925-1761
Provider Business Practice Location Address
First Line : 100 W BIG BEAVER RD
Second Line : SUITE 600
City : TROY
State : MI
Zip : 48084-5206
Country : US
Telephone Number : 248-925-1704
Fax Number : 248-925-1761
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2007
Last Update Date : 08/06/2007

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Directions to “ DR. DONALD SAMUEL BEAM III M.D.” Practice Location

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