BETHANY LYNN PARK

SOUTHFIELD, MI
NPI1114781747
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601012241)
Enumeration Date2024-02-13
Last Update Date2024-02-13
Business Address
BETHANY LYNN PARK PA-C
27177 LAHSER RD
SOUTHFIELD, MI 48034-4714
Phone number: 989-277-6478
Mailing Address
BETHANY LYNN PARK PA-C
1521 ROYAL OAK ST SW
WYOMING, MI 49509-2711
Phone number: 989-277-6478
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