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

William Beaumont Hospital - CRNA

Organization Anesthesiology Physician · NPI 1306261391

William Beaumont Hospital - CRNA is an Anesthesiology Physician in Grosse Pointe, Michigan. Works from 4 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2014

Practice location Address checks out

468 Cadieux Rd Beaumont Grosse Pointe Crna
Grosse Pointe, MI 48230-1507
Phone: (313) 473-1000
Show map & directions

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

Additional practice locations (3)

  • 28050 Grand River Ave, Farmington Hills, MI 48336-5919 — (248) 471-8889
  • 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 — (248) 898-5000
  • 44201 Dequindre Rd, Troy, MI 48085-1117 — (248) 964-5000

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 1060000043 (MI)

Record details

NPI number1306261391
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWilliam Beaumont Hospital
Authorized official Lee Odom — President Shared Services · (947) 522-3326
Other names Beaumont Health Crna
NPI enumeratedFebruary 27, 2014
Last updated in NPPESOctober 1, 2021
Certification dateOctober 1, 2021
Mailing address26901 Beaumont Blvd, Compliance, Southfield, MI 48033-4716

Other providers in Grosse Pointe