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Organization

BELLECARE MEDICAL SERVICES PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. THEODORE DENSLEY MD (OWNER)
(313) 699-5400
Entity
Organization

Contact information

Practice address
25 OWEN ST, BELLEVILLE, MI 48111-2921
(734) 699-5400
Mailing address
25 OWEN ST, BELLEVILLE, MI 48111-2921

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301039079
MI
363LA2200X
Adult Health Nurse Practitioner
4704265133
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1
MI
Enumeration date
12/22/2014
Last updated
12/22/2014
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