Individual
DR. LISA M BEDFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1740 E PARIS AVE SE, GRAND RAPIDS, MI 49546-6204
(616) 949-5600
(616) 949-6571
Mailing address
1740 E PARIS AVE SE, GRAND RAPIDS, MI 49546-6204
(616) 949-5600
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4301505079
MI
Other
Enumeration date
06/08/2017
Last updated
04/14/2022
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