Individual
MRS. BETHANY HAUBERT REGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(248) 849-5806
(248) 849-5489
Mailing address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(248) 849-5806
(248) 849-5489
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601004534
MI
Other
Enumeration date
08/15/2007
Last updated
04/07/2022
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