BETHANY LYNN PARK PA-C
NPI 1114781747
Physician Assistant in Southfield, MI
About Bethany Lynn Park Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BETHANY LYNN PARK PA-C (NPI 1114781747) is an individual physician assistant in Southfield, Michigan, licensed in Michigan (5601012241) and active in the NPI registry since February 2024.
NPPES Registry Identity
Specialties & Licenses
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.
SOUTHFIELD, MI 48034
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Bethany Park's NPI number?
The NPI number for Bethany Park is 1114781747. It was assigned to this individual provider in the NPPES registry on February 13, 2024.
Where is Bethany Park located?
Bethany Park practices at 27177 Lahser Rd, Southfield, MI 48034. The listed phone number is (989) 277-6478.
What is Bethany Park's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
When was this NPI record last updated?
The NPPES record for Bethany Park was last updated on February 13, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.