Individual
BETHANY CLARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
28455 HAGGERTY RD, SUITE 100, NOVI, MI 48377-2906
(248) 553-2200
(248) 553-2201
Mailing address
28455 HAGGERTY RD, SUITE 100, NOVI, MI 48377-2906
(248) 553-2200
(248) 553-2201
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301055840
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4619371
—
MI
Enumeration date
03/01/2006
Last updated
03/24/2011
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