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Individual

MARY BETH COURETAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
44201 DEQUINDRE RD, TROY, MI 48085-1117
(248) 964-5000
Mailing address
2448 ARMSTRONG DR, LAKE ORION, MI 48360-1909
(573) 690-1877

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601008904
MI

Other

Enumeration date
10/30/2018
Last updated
12/23/2020
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