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 1629940705

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

In the registry since
2025

Practice location Address checks out

5452 Fort St
Trenton, MI 48183-4637
Phone: (616) 486-6790
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1629940705
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Cox — Cfo · (616) 295-4264
NPI enumeratedSeptember 19, 2025
Last updated in NPPESSeptember 19, 2025
Certification dateSeptember 19, 2025
Mailing address100 Michigan St Ne, Grand Rapids, MI 49503-2560

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