Individual
DR. BETHANY LEIGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
309 E 11 MILE RD, ROYAL OAK, MI 48067-2735
(947) 522-4900
(947) 522-4910
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101016169
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5178280
—
MI
Enumeration date
04/02/2007
Last updated
07/15/2022
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