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Organization

JOHN E BODELL DO PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JANET MARIE BODELL SFO,RN,MSH (NURSE ADMINISTRATOR)
(734) 676-3575
Entity
Organization

Contact information

Practice address
2871 WEST RD, TRENTON, MI 48183-2476
(734) 676-3575
Mailing address
2871 WEST RD, TRENTON, MI 48183-2476
(734) 676-3575

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Enumeration date
01/10/2011
Last updated
01/10/2011
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