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Individual

BETHANY D SKINNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1500 E MEDICAL CENTER DR, 9TH FLOOR RECEPTION B, ANN ARBOR, MI 48109-4276
(734) 763-6295
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301099515
MI
207VG0400X
Gynecology Physician
01066666B
IN

Other

Enumeration date
01/26/2007
Last updated
04/26/2012
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