BETHESIDA WHOLESTIC CENTER PLLC

SOUTHFIELD, MI
NPI1598980385
Entity TypeOrganization
Authorized ContactGRACE W PATTERSON
President, CEO
248-820-7030
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Additional Taxonomies103TF0000X Psychologist Family
164W00000X Licensed Practical Nurse
174H00000X Health Educator
175F00000X Naturopath
175L00000X Homeopath
207QG0300X Family Medicine Geriatric Medicine
207QS1201X Family Medicine Sleep Medicine
208VP0000X Pain Medicine Pain Medicine
208VP0014X Pain Medicine Interventional Pain Medicine
363A00000X Physician Assistant
363AM0700X Physician Assistant Medical
363LF0000X Nurse Practitioner Family
363LP2300X Nurse Practitioner Primary Care
374K00000X Religious Nonmedical Practitioner
Enumeration Date2007-04-16
Last Update Date2019-08-15
Business Address
BETHESIDA WHOLESTIC CENTER PLLC
21411 CIVIC CENTER DR STE 102
SOUTHFIELD, MI 48076-3949
Phone number: 248-820-7030
Mailing Address
BETHESIDA WHOLESTIC CENTER PLLC
275 APPLEWOOD LN
BLOOMFIELD TOWNSHIP, MI 48302-1101
Phone number: 248-820-7030