Individual
BETHANY SWANQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
43902 WOODWARD AVE STE 230, BLOOMFIELD HILLS, MI 48302-5022
(248) 798-2942
Mailing address
2020 BARRETT AVE, ROYAL OAK, MI 48067-3506
(248) 787-4158
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
174H00000X
Health Educator
—
—
Other
Enumeration date
12/18/2017
Last updated
03/17/2018
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