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Individual

KEVIN PIERCE BAUTEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHNP-BC

Contact information

Practice address
42669 GARFIELD RD # 326, CLINTON TOWNSHIP, MI 48038-1653
(586) 412-5321
Mailing address
37558 KAREN ANN CT, NEW BALTIMORE, MI 48047-6704
(586) 873-2413

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704277557
MI

Other

Enumeration date
10/14/2021
Last updated
03/26/2023
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