David J Beyer, MD
Individual provider Active NPI Family Medicine Physician · Roseville, MI
NPI 1013011600 · NPPES record last updated Mar 26, 2014
Key facts
- NPI
- 1013011600
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- DB049169 (MI)
- Practice address
- 30695 Little Mack Ave
Suite 200
Roseville, MI 48066 - Phone
- (586) 294-9600
- Fax
- (586) 294-2812
- NPI assigned
- Sep 12, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DB049169 | MI | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DB049169 | MI | Yes |
Addresses
Primary practice location
30695 Little Mack Ave
Suite 200
Roseville, MI 48066
Mailing address
30695 Little Mack Ave
Suite 200
Roseville, MI 48066
Phone (586) 294-9600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720365 | Medicaid | MI |
Other providers in Roseville, MI
- Keith Bellovich
- Alexandra Elizabeth Beltowski
- Sebastian A Benenati
- Brook Bernreuter
- Thomas Beshara
- Kevin Bickett
- Bio-Magnetic Resonance Inc
- Bio-Med Behavioral Health Care
- Bio-Med Behavioral Health Services
- Biolife Diagnostics Inc
All providers in Roseville, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.