Jeffrey Blair Beaudoin in Petoskey - Surgery
Jeffrey Blair Beaudoin - NPI 1508821000
Jeffrey Blair Beaudoin is a Surgery in Petoskey, Michigan. Jeffrey Blair Beaudoin practices all healthcare services and medical treatments related to Surgery. The NPI Number for Jeffrey Blair Beaudoin is 1508821000. The last update date is 2015-11-19.
Jeffrey Blair Beaudoin's current location address is 521 Monroe St, Petoskey, Michigan. You can contact this provider via phone number 2314871900 and fax number 2313480984. The mailing address for Jeffrey Blair Beaudoin is 521 Monroe St, Petoskey, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey Blair Beaudoin |
|---|---|
| Address | 521 Monroe St, Petoskey, Michigan |
| Phone Number | 2314871900 |
| Fax Number | 2313480984 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1508821000 |
|---|---|
| Provider Enumeration Date | 2006-04-18 |
| Last Updated Date | 2015-11-19 |
Provider Mailing Address Detail
| Address | 521 Monroe St |
|---|---|
| City | Petoskey |
| State | Michigan (MI) |
| Post Code | 497702266 |
| Phone Number | 2314871900 |
| Fax Number | 2313480984 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 4301057924 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 020B41012 | MI | BCBS MI | |
| 0B41012 | MI | BCN | |
| 20043565 | MI | RAILROAD MEDICARE | |
| 4084724 | MI | -- |
Post Comment/ Review Below
What is the Jeffrey Blair Beaudoin's 1508821000?
The Jeffrey Blair Beaudoin's NPI (National Provider Identifier) Number is 1508821000. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Jeffrey Blair Beaudoin?
The Jeffrey Blair Beaudoin is physically situated at 521 Monroe St, in the city of Petoskey, state of MI, with the postal code 497702266.
What is Jeffrey Blair Beaudoin's area of expertise and its corresponding taxonomy classification?
The Jeffrey Blair Beaudoin's field of specialization is Surgery, and it falls under the taxonomy code 208600000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1508821000 to Jeffrey Blair Beaudoin?
The Centers for Medicare & Medicaid Services assigned the 1508821000 to Jeffrey Blair Beaudoin on 2006-04-18.
When was the Jeffrey Blair Beaudoin's information last updated?
The Jeffrey Blair Beaudoin's information was last updated on 2015-11-19.
NPI Number: 1972505162
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