Organization
BETTS MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAQUINTA L EDWARDS (BILLER)
(248) 327-6636
Entity
Organization
Contact information
Practice address
21040 GREENFIELD RD, STE 200, OAK PARK, MI 48237-3025
(248) 967-1888
(248) 967-1885
Mailing address
PO BOX 21790, DETROIT, MI 48221-0790
(248) 967-1888
(248) 967-1885
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301040115
MI
Other
Enumeration date
06/07/2011
Last updated
02/06/2012
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