Individual
BETHANY WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1290 E MICHIGAN HWY, ROSCOMMON, MI 48653-8757
(989) 275-8936
Mailing address
252 N BURGESS ST APT 1, WEST BRANCH, MI 48661-1108
(586) 747-4677
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/17/2016
Last updated
05/17/2016
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