Bethany Swanquist
Nutritionist in Bloomfield Hills, MI. Individual provider (NPI-1).
NPI number1295241925
StatusActive
Last updated in NPPESMar 17, 2018
Details
- NPI
- 1295241925
- Entity type
- Individual (NPI-1)
- Name
- Bethany Swanquist
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 18, 2017
- Last updated
- Mar 17, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133N00000X | Nutritionist | – | – | Yes |
| 174H00000X | Health Educator | – | – |
Practice location
43902 Woodward Ave Ste 230Bloomfield Hills, MI 48302-5022
Phone 248-798-2942
Mailing address
2020 Barrett AveRoyal Oak, MI 48067-3506
Phone 248-787-4158
Other practice locations
2020 Barrett Ave
Royal Oak, MI 48067-3506
Royal Oak, MI 48067-3506
Phone 248-787-4158
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