JEFFREY DEAN BREDOW JR.
NPI 1699484295
Registered Nurse - Ambulatory Care in Detroit, MI
Active since November 22, 2022
About Jeffrey Dean Bredow Jr. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEFFREY DEAN BREDOW JR. (NPI 1699484295) is an individual ambulatory care provider in Detroit, Michigan, licensed in Michigan (470222278) and active in the NPI registry since November 2022.
NPPES Registry Identity
NPI1699484295
Entity TypeIndividualMale
Primary Taxonomy163WP2201X
Provider Legal NameJEFFREY DEAN BREDOW JR.
Location Address4646 JOHN R STDetroit, MI 48201-1916
Mailing Address16913 Geranium DrBrownstown, MI 48173-8758
Phone(313) 576-1000
Sole ProprietorNo
Enumeration DateNovember 22, 2022
NPPES CertifiedNovember 22, 2022
✔ NPI 1699484295 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Ambulatory CareNursing Service Providers
Taxonomy Code163WP2201X
License✔ Licensed in MI · 470222278
4646 JOHN R ST, Detroit, MI 48201
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Psychiatry & Neurology (Geriatric Psychiatry)
4646 JOHN R ST
DETROIT, MI 48201
DETROIT, MI 48201
Internal Medicine
4646 JOHN R ST, JOHN D DINGELL VA MEDICAL CENTER
DETROIT, MI 48201
DETROIT, MI 48201
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699484295, enumerated as an "individual" on November 22, 2022.
The provider is located at 4646 JOHN R ST DETROIT, MI 48201 and the phone number is (313) 576-1000.
Registered Nurse with taxonomy code 163WP2201X and a focus in Ambulatory Care.
