Individual
STEPHANIE BEDNAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2300 HAGGERTY RD STE 2160, WEST BLOOMFIELD, MI 48323-2192
(248) 859-2457
(248) 859-2473
Mailing address
3928 LOCH BEND DR, COMMERCE TWP, MI 48382-4341
(248) 779-7427
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704306313
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704306313
REGISTERED NURSE LICENSE
MI
Enumeration date
03/24/2019
Last updated
03/24/2019
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