Individual
BETHANY GRUPIDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5870 PINE KNOB RD, CLARKSTON, MI 48346-3281
(248) 705-3372
Mailing address
5870 PINE KNOB RD, CLARKSTON, MI 48346-3281
(248) 705-3372
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704292923
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704292923
MI
Other
Enumeration date
07/11/2021
Last updated
04/11/2023
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