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

William Beaumont Hospital

Organization Pediatrics Physician · NPI 1104040153

William Beaumont Hospital is a Pediatrics Physician in Royal Oak, Michigan. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone: (248) 423-2454
Fax: (248) 423-2576
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1104040153
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWilliam Beaumont Hospital
Authorized official Lee Odom — President Shared Services · (947) 522-3326
Other names Beaumont Professional Services; Beaumont Professional Services
NPI enumeratedApril 12, 2007
Last updated in NPPESOctober 1, 2021
Certification dateOctober 1, 2021
Mailing address26901 Beaumont Blvd, Compliance, Southfield, MI 48033-3849

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