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Individual
MR. TIMOTHY PAUL BEDELL II
Active
Individual
MR. TIMOTHY PAUL BEDELL II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
4704290234
MI
363LF0000X
Family Nurse Practitioner
Primary
4704290234
MI
Other
Enumeration date
03/31/2022
Last updated
03/21/2023
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