Organization
BRADLEY BENGTSON, M.D. PC
Active
Other names
Bengtson Center for Aesthetics and Plastic Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY BENGTSON M.D., FACS (OWNER)
(616) 588-8880
Entity
Organization
Contact information
Practice address
555 MIDTOWNE ST NE, SUITE 110, GRAND RAPIDS, MI 49503-5729
(616) 588-8880
(616) 588-8881
Mailing address
555 MIDTOWNE ST NE, SUITE 110, GRAND RAPIDS, MI 49503-5729
(616) 588-8880
(616) 588-8881
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
4301407033
MI
Other
Enumeration date
04/21/2010
Last updated
04/21/2010
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