Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Beaumont Health

Organization Clinic/Center · NPI 1497290456

Beaumont Health is a Clinic/Center in Southgate, Michigan. Licensed in Michigan. Registered with an NPI since 2016.

Licensed in
MI
In the registry since
2016

Practice location Address checks out

15777 Northline
Southgate, MI 48195
Phone: (313) 570-7906
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence 4704208352 (MI)

Record details

NPI number1497290456
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diane Pearl — Nurse Practitioner · (313) 570-7906
NPI enumeratedDecember 30, 2016
Last updated in NPPESDecember 30, 2016
Mailing address17801 Snow, Dearborn, MI 48124

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