| Doctor Name: | PROF. JULIE MARIE BEHNKE |
| NPI Number: | 1134471022 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, CPNP |
| License Number: | 4704256676 |
| Business Practice Address: | 32100 Telegraph Rd Suite 110 Bingham Farms, MI - 480252452 |
| Business Phone Number: | 2486441221 |
| Business Fax Number: | 2486442748 |
| Mailing Address: | 32100 Telegraph Rd, Suite 110 BINGHAM FARMS |
| State: | MI |
| Postal Code: | 480252452 |
| Phone Number: | 2486441221 |
| Fax Number: | 2486442748 |
| NPI Enumeration Date: | 10/03/2012 |
| NPI Last Update Date: | 10/03/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | 4704256676 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |