Individual
BRIAN BENGTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15855 19 MILE RD, CLINTON TOWNSHIP, MI 48038-3504
(586) 263-2370
Mailing address
22101 MOROSS, DETROIT, MI 48264
(313) 343-4000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704235038
MI
Other
Enumeration date
01/02/2009
Last updated
07/23/2025
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