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NPI Code Detail

MEDICARE: BETHANY CLENDENAN

MEDICARE: BETHANY CLENDENAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374700000XTechnicianMI

General Provider Information

NPI Number : 1184146128
Entity Type Code : Individual
Provider Name (Legal Business Name) : BETHANY CLENDENAN
Provider Business Mailing Address
First Line : 110 N SAGINAW ST
Second Line :
City : LAPEER
State : MI
Zip : 48446-4600
Country : US
Telephone Number : 810-535-5587
Fax Number :
Provider Business Practice Location Address
First Line : 110 N SAGINAW ST
Second Line :
City : LAPEER
State : MI
Zip : 48446-4600
Country : US
Telephone Number : 810-535-5587
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2017
Last Update Date : 07/21/2022

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Directions to “ BETHANY CLENDENAN ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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