Brian Bengtson
Nurse Anesthetist, Certified Registered in Clinton Township, MI. Individual provider (NPI-1).
NPI number1881830487
StatusActive
Last updated in NPPESJul 23, 2025
Details
- NPI
- 1881830487
- Entity type
- Individual (NPI-1)
- Name
- Brian Bengtson
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 2, 2009
- Certification date
- Jul 23, 2025
- Last updated
- Jul 23, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704235038 | MI | Yes |
Practice location
15855 19 Mile RdClinton Township, MI 48038-3504
Phone 586-263-2370
Mailing address
22101 MorossDetroit, MI 48264
Phone 313-343-4000
Other practice locations
22101 Moross Rd
Detroit, MI 48236
Detroit, MI 48236
Phone 313-343-4000
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