THEODORE BEATTY

CLINTON TOWNSHIP, MI
NPI1306259262
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601006977)
Enumeration Date2014-06-09
Last Update Date2014-06-09
Business Address
-- THEODORE BEATTY PA-C
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038-3504
Phone number: 586-263-2300
Mailing Address
-- THEODORE BEATTY PA-C
266 VESTER ST
FERNDALE, MI 48220-1714
Phone number: 810-614-9841
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