Individual
KAREN L BETTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8191 MOORSBRIDGE RD STE A, PORTAGE, MI 49024-7417
(269) 779-0797
(888) 287-4873
Mailing address
8191 MOORSBRIDGE RD STE A, PORTAGE, MI 49024-7417
(269) 779-0797
(888) 287-4873
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301078902
MI
207Q00000X
Family Medicine Physician
46165-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200086430A
—
OK
Enumeration date
07/05/2006
Last updated
09/27/2020
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