Individual
DOUGLAS BETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
50953 S I 94 SERVCE DR, BELLEVILLE, MI 48111-2265
(734) 635-4637
Mailing address
50953 S I 94 SERVCE DR, BELLEVILLE, MI 48111-2265
(734) 635-4637
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703106198
MI
Other
Enumeration date
07/16/2015
Last updated
07/16/2015
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