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NPI Code Detail

MEDICARE: JOHN JEFF BEMESDERFER

MEDICARE:   JOHN JEFF BEMESDERFER
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
1104100000XSocial Worker6401001411MI

General Provider Information

NPI Number : 1215023528
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN JEFF BEMESDERFER
Provider Business Mailing Address
First Line : 32932 WARREN RD
Second Line : SUITE 103
City : WESTLAND
State : MI
Zip : 48185-3095
Country : US
Telephone Number : 313-562-2800
Fax Number :
Provider Business Practice Location Address
First Line : 32932 WARREN RD
Second Line : SUITE 103
City : WESTLAND
State : MI
Zip : 48185-3095
Country : US
Telephone Number : 313-562-2800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2006
Last Update Date : 07/09/2007

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Directions to “ JOHN JEFF BEMESDERFER ” Practice Location

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