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Search › Michigan › 104100000X

Jacalyn Beavers

NPI 1952412322 · on the registry since 2006

Practice

Address
29877 Telegraph Rd
Ste 401
Southfield, MI 48034
Phone
(248) 358-5334
Fax
(248) 356-7596
Organisation at this address
Dpn-Mi Pc
Rubix Health
Wook Kim Md Pc
Oakland Pt Inc
Wook Kim Md Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
52

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-02-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan