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Bethany Bryant
NPI 1760044499 · on the registry since 2019
Practice
- Address
- 18610 Fenkell St
Detroit, MI 48223 - Phone
- (313) 723-6000
- Fax
- (313) 424-4058
- Clinicians at this address
- 17
Registry record
- Primary taxonomy
- 363LA2100X
363LA2100X
- Also registered as
- 163W00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-03-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan