Individual
MRS. BETHANY TEMPLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP
Contact information
Practice address
2300 BIDDLE AVE STE 100, WYANDOTTE, MI 48192-4650
(347) 250-2516
Mailing address
2206 21ST ST, WYANDOTTE, MI 48192-4130
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
4704278245
MI
Other
Enumeration date
06/30/2015
Last updated
03/15/2021
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