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Individual

DR. BETHANY ANNE MOHR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301069840
MI
208000000X
Pediatrics Physician
ME81314
FL
208M00000X
Hospitalist Physician
4301069840
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
260494900
FL
Enumeration date
06/11/2006
Last updated
11/07/2019
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