Individual provider · Type 1 NPI

Bethany Lynn Park, PA-C

Physician Assistant · Southfield, MI

NPI number 1114781747 Active

Practice location

27177 Lahser Rd
Southfield, MI 48034-4714

Call (989) 277-6478 Map

Mailing address

1521 Royal Oak St SW
Wyoming, MI 49509-2711

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601012241 (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…

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About NPI 1114781747

Bethany Lynn Park, PA-C's National Provider Identifier is 1114781747, issued on Feb 13, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Southfield, MI. The record was last updated on Feb 13, 2024.