Individual
DR. JOSEPH BETRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6245 INKSTER RD, GARDEN CITY, MI 48135-4001
(734) 458-3300
Mailing address
6245 INKSTER RD, GARDEN CITY, MI 48135-4001
(734) 458-3300
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101009687
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0158201854
BCBS PIN
—
05
—
11-4229071
—
MI
05
—
11-4229090
—
MI
05
—
11-4229106
—
MI
05
—
11-4229115
—
MI
05
—
11-4229124
—
MI
05
—
11-4229133
—
MI
05
—
11-4229142
—
MI
05
—
11-4230546
—
MI
01
—
11271944
CAQH
—
01
—
JB009687
BCBS
—
Enumeration date
01/04/2006
Last updated
01/07/2016
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