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Individual
AMANDA ALLISON SCHACK
Active
Individual
AMANDA ALLISON SCHACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4301096174
MI
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
4301096174
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
MI
Other
Enumeration date
05/17/2010
Last updated
01/26/2016
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