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Bethany Dolezal
NPI 1285270033 · on the registry since 2019 · sole proprietor
Practice
- Address
- 501 E Highway St
Vicksburg, MI 49097 - Phone
- (308) 746-5920
Additional practice sites
- 5820 Copper Beech Blvd Apt G, Kalamazoo, MI
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-11-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan