NPI 1366165037

Larry Betteley, RN

Practitioner Military Hospital Detroit, MI

Practice location

Address: 4646 John R St, Detroit, MI 48201-1916
Phone: (313) 576-1000
Mailing address: PO Box 313, Flat Rock, MI 48134-0313

Registered specialties

Military Hospital Primary

Hospitals Taxonomy 286500000X

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Registry record

NPI: 1366165037
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Sep 2022
Record last updated: 20 Oct 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.