| NPI | 1215446646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN SCOTT MANER Sr. VP Beaumont Physician Partners 947-522-1912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2020-04-07 |