Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Bethany Haubert Regner, PA

Individual provider Physician Assistant · NPI 1407048275

Mrs. Bethany Haubert Regner, PA is a Physician Assistant in Southfield, Michigan. Works from 3 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

16001 W 9 Mile Rd
Southfield, MI 48075-4818
Phone: (248) 849-5806
Fax: (248) 849-5489
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1200 E Michigan Ave, Lansing, MI 48912 — (517) 484-4520
  • 47601 Grand River Ave, Novi, MI 48374-1233 — (248) 465-4311

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601004534 (MI)

Record details

NPI number1407048275
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 15, 2007
Last updated in NPPESApril 7, 2022
Certification dateApril 7, 2022

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