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Individual

BETHANY BONDY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
WHNP-BC

Contact information

Practice address
1651 KINGSWAY CT STE A, TRENTON, MI 48183-1959
(734) 671-2110
(734) 671-5344
Mailing address
1651 KINGSWAY CT STE A, TRENTON, MI 48183-1959
(734) 671-2110
(734) 671-5344

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
4704175802
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0H28865
BLUE CROSS
MI
Enumeration date
01/30/2014
Last updated
03/04/2018
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