Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JONATHAN EDWARD BEAULAC, D.O.

Active

DR. JONATHAN EDWARD BEAULAC, D.O. is a Internal Medicine healthcare provider located in TRAVERSE CITY, Michigan. NPI 1508132283 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · TRAVERSE CITY, MI

Registration Details

NPI Number: 1508132283
Provider Type: Individual
Gender: Male
NPI Issued: Mar 28, 2012 (14.39666487787 yrs)
Last Updated: Apr 25, 2025
Licenses: 5101019890 (MI)

5101019890 (MI)

Practice Information

Address: 5041 N ROYAL DR

TRAVERSE CITY, MI, 496846986
Browse MI providers · Browse ZIP 49684
Phone: 2319350600
Fax: 2319350613
Primary Specialty: Internal Medicine
207R00000X
Additional Specialty: Internal Medicine

Other Internal Medicine Providers in TRAVERSE CITY, MI

Name	Credential	NPI
DR. WILLIAM H. GEORGE	MD	1205839131
DR. ELIZABETH SHANNON ELLIOT	D.O.	1013919109
DR. JAMES D SITEK	D.O.	1205831617
DR. TROY W AHLSTROM	M.D.	1548265911
DR. ROBERT F SIGWORTH	M.D.	1336144740
DR. LAWRENCE H WARBASSE III	M.D.	1902801327

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.