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Individual

BETHANY LEIGH FEHSENFELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, MSN, CNM

Contact information

Practice address
1474 MNO BMADZEWEN WAY, FULTON, MI 49052
(269) 729-4422
(269) 729-4460
Mailing address
21335 COUNTY ROAD 653, GOBLES, MI 49055-9242
(317) 694-5446
(269) 729-6640

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
4704138929
MI

Other

Enumeration date
08/17/2011
Last updated
08/17/2011
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