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NPI Code Detail

MEDICARE: BROOKE ELIZABETH BEELER MD

MEDICARE:   BROOKE ELIZABETH BEELER  MD
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
1390200000XStudent in an Organized Health Care Education/Training ProgramOH

General Provider Information

NPI Number : 1689424152
Entity Type Code : Individual
Provider Name (Legal Business Name) : BROOKE ELIZABETH BEELER MD
Provider Business Mailing Address
First Line : 382 KING AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43201-2618
Country : US
Telephone Number : 937-424-6058
Fax Number :
Provider Business Practice Location Address
First Line : 5808 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44103
Country : US
Telephone Number : 216-844-3911
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2024
Last Update Date : 03/26/2024

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Directions to “ BROOKE ELIZABETH BEELER MD” Practice Location

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