THEODORE K BEATTY

HENRY FORD MACOMB HOSPITAL CORPORATION

Dr THEODORE K BEATTY is a male medical professional, specializing in Physician Assistant. He graduated in 2014.

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HENRY FORD MACOMB HOSPITAL CORPORATION

15717 15 MILE RD
CLINTON TOWNSHIP
MI
480352101

Tel:

THEODORE K BEATTY Information

Npi 1306259262
Pac Id 6406172675
Professional Enrollment Id I20150305001336
Last Name BEATTY
First Name THEODORE
Middle Name K
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2014
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name HENRY FORD MACOMB HOSPITAL CORPORATION
Group Practice Pac Id 7911808381
Number Of Group Practice Members 241
Line 1 Street Address 15717 15 MILE RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City CLINTON TOWNSHIP
State MI
Zip Code 480352101
Phone Number
Hospital Affiliation Ccn 1 230047
Hospital Affiliation Lbn 1 HENRY FORD MACOMB HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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