Individual
BRANDON THOMAS BEDSOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
714 N MICHIGAN ST, SOUTH BEND, IN 46601-1035
(574) 647-7477
Mailing address
7315 GREEN VALLEY DR, GRAND BLANC, MI 48439-8195
(810) 730-3295
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/07/2022
Last updated
04/10/2024
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