# BELLECARE MEDICAL SERVICES PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285022442
- **Authorized official:** DR. THEODORE DENSLEY MD (OWNER)
- **Authorized official phone:** (313) 699-5400

## Contact information

- **Practice address:** 25 OWEN ST, BELLEVILLE, MI 48111-2921
- **Practice address phone:** (734) 699-5400
- **Mailing address:** 25 OWEN ST, BELLEVILLE, MI 48111-2921

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 4301039079 | MI | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | 4704265133 | MI | — |

## Other

- **Enumeration date:** 12/22/2014
- **Last updated:** 12/22/2014