Organization
BETHESIDA WHOLESTIC CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRACE W PATTERSON M.D. (PRESIDENT, CEO)
(248) 820-7030
Entity
Organization
Contact information
Practice address
21411 CIVIC CENTER DR STE 102, SOUTHFIELD, MI 48076-3949
(248) 820-7030
(248) 499-1235
Mailing address
275 APPLEWOOD LN, BLOOMFIELD TOWNSHIP, MI 48302-1101
(248) 820-7030
(248) 499-1235
Taxonomy
Speciality
Code
Description
License number
State
103TF0000X
Family Psychologist
—
—
164W00000X
Licensed Practical Nurse
—
—
174H00000X
Health Educator
—
—
175F00000X
Naturopath
—
—
175L00000X
Homeopath
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207QS1201X
Sleep Medicine (Family Medicine) Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
374K00000X
Religious Nonmedical Practitioner
—
—
Other
Enumeration date
04/16/2007
Last updated
08/15/2019
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