Individual
BETHANY MATHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1215 E MICHIGAN AVE, LANSING, MI 48912-1811
(517) 364-1000
Mailing address
1215 E MICHIGAN AVE, LANSING, MI 48912-1811
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/17/2020
Last updated
07/13/2025
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