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1992777908
EDGAR J BEAUMONT
GRAND RAPIDS, MI
NPI
1992777908
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: MI 4301043781)
Enumeration Date
2006-02-03
Last Update Date
2015-03-23
Business Address
-- EDGAR J BEAUMONT MD
100 MICHIGAN ST NE FLOOR 3W, MC 035
GRAND RAPIDS, MI 49503-2560
Phone number: 616-391-1714
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Mailing Address
-- EDGAR J BEAUMONT MD
100 MICHIGAN ST NE MC845
GRAND RAPIDS, MI 49503-2560
Phone number: 616-486-6790
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