Individual provider · NPI-1

Darryl Jermaine Bedell

Registered Nurse, General Practice · Detroit, MI

NPI number1801694310
StatusActive
Last updated in NPPESMar 3, 2025

Details

NPI
1801694310
Entity type
Individual (NPI-1)
Name
Darryl Jermaine Bedell
Sex
Male
Sole proprietor
No
Enumeration date
Mar 3, 2025
Certification date
Mar 3, 2025
Last updated
Mar 3, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WG0000X Registered Nurse, General Practice4704298297MIYes

Practice location

707 W Milwaukee St
Detroit, MI 48202-2943

Phone 313-989-9444

Mailing address

707 W Milwaukee St
Detroit, MI 48202-2943

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