Individual
PAUL BEDNARSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, RN, PMHNP-BC
Contact information
Practice address
3200 GREENFIELD RD STE 300, DEARBORN, MI 48120-1805
(574) 546-1900
(574) 546-1999
Mailing address
2327 9TH ST, WYANDOTTE, MI 48192-4361
(734) 306-2744
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704314702
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704314702
MI
Other
Enumeration date
11/10/2023
Last updated
02/24/2025
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