Search › Michigan › 207R00000X
Jonathan Beaulac, D.O
NPI 1508132283 · on the registry since 2012
Practice
- Address
- 5041 N Royal Dr
Traverse City, MI 49684 - Phone
- (231) 935-0600
- Fax
- (231) 935-0613
- Organisation at this address
- Munson Medical Group
Judith L Ramsdell, Md, Pc
Traverse Area Hematology/Oncology P.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Additional practice sites
- 15855 Nineteen Mile Rd., Clinton Township, MI
- 1000 Pavilions Cir, Traverse City, MI
- 550 Munson Ave, Traverse City, MI
- 5085 Anna Dr Ste B&C, Traverse City, MI
- 1105 Sixth St, Traverse City, MI
- 1221 Sixth St Ste 206, Traverse City, MI
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 207RG0300X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-04-25
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