# DR. AMY D CVENGROS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1558449009
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 4301507438 | MI | Yes |
| 207R00000X | Internal Medicine Physician | 51856 | WI | — |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 10/05/2022