Individual
BETHANY FLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2431 E HAGERT ST, PHILADELPHIA, PA 19125-3047
(231) 557-6598
Mailing address
6913 WESTSHIRE DR, NORTON SHORES, MI 49444
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704272588
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
117346
MI
Other
Enumeration date
02/02/2017
Last updated
08/23/2017
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