OrganizationActive
Beaumont Hospital Grosse Pointe
NPI 1699962142 · Primary Care Clinic/Center · Saint Clair Shores, MI
Provider details
- NPI number
- 1699962142
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lee Odom, President Shared Services(947) 522-3326
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
25901 Jefferson Ave
Suite 200
Saint Clair Shores, MI 48081-2333
Phone: (586) 447-4161
Fax: (586) 447-4180
Approximate (ZIP-level) locationGet directions
Mailing address
26901 Beaumont Blvd
Southfield, MI 48033-4716
Registry dates
- Enumerated
- 2007-09-28
- Last updated
- 2021-10-07
- Certified
- 2021-10-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.