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Individual

DR. ALBERTO BETANCOURT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
245 SOUTH SECOND ST, SUITE 200, CARSON CITY, MI 48811
(989) 584-3981
(989) 584-0231
Mailing address
PO BOX 730, 406 EAST ELM ST, CARSON CITY, MI 48811
(989) 584-3131
(989) 584-6734

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301056775
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3053410
MI
Enumeration date
02/13/2006
Last updated
12/03/2009
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