Individual
BERNARD J BETKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4005 ORCHARD DR, MIDLAND, MI 48670-0001
(989) 839-3000
Mailing address
1302 E ILLINOIS CT, MT PLEASANT, MI 48858-2967
(989) 775-6499
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704177764
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4397030
—
MI
01
—
BB177764
BLUE SHIELD
MI
Enumeration date
10/13/2006
Last updated
07/09/2007
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