Individual
BRADLEY BENSLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3865 S MACKINAC TRL, SAULT SAINTE MARIE, MI 49783-9286
(906) 632-2805
(906) 632-1163
Mailing address
3865 S MACKINAC TRL, SAULT SAINTE MARIE, MI 49783-9286
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
4704338167
MI
Other
Enumeration date
05/16/2018
Last updated
05/16/2018
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