Individual provider · Type 1 NPI

Bethany Long

Physician Assistant · Waterford, MI

NPI number 1114743002 Active

Practice location

4400 Highland Rd
Waterford, MI 48328-1222

Call (248) 618-6000 Map

Fax (248) 618-6951

Mailing address

24 Frank Lloyd Wright Dr Ste J2000
Ann Arbor, MI 48105-9484

Other practice locations

  • 259 Mack Ave, Detroit, MI 48201-2427 · (313) 577-1716
  • 4123 Martin Rd Ste 102, Commerce Township, MI 48390-4151 · (248) 366-3700

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Physician Assistant Primary 363A00000X5601013144 (MI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

13 other providers at this address

Other physician assistant providers in Waterford

See all in Waterford →

About NPI 1114743002

Bethany Long's National Provider Identifier is 1114743002, issued on Nov 25, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Waterford, MI. The record was last updated on Oct 21, 2026.