Bethany Lynn Park, PA-C
NPI #1114781747 in Southfield, Michigan
Provider Information
- NPI Number
- 1114781747
- Entity Type
- Individual
- Name
- Bethany Lynn Park, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Feb 13, 2024
- Last Updated
- Feb 13, 2024
Practice Location
- Address
- 27177 LAHSER RD
- City
- Southfield
- State
- Michigan
- ZIP Code
- 48034-4714
- Phone
- (989) 277-6478
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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