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

Beaumont Medical Group- Specialty Services

Organization Internal Medicine Physician · NPI 1083415640

Beaumont Medical Group- Specialty Services is an Internal Medicine Physician in Grosse Pointe, Michigan. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

17000 Kercheval Ave
Grosse Pointe, MI 48230-1570
Phone: (313) 640-2424
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1083415640
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Cox — Cfo · (616) 295-4264
Other names Corewell Health Medical Group East Specialty Services
NPI enumeratedMarch 20, 2025
Last updated in NPPESMarch 20, 2025
Certification dateMarch 20, 2025
Mailing address100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560

Other providers in Grosse Pointe