Individual
AMY MICHELLE BAKALAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5361 MCAULEY DR, YPSILANTI, MI 48197-1011
(734) 712-5189
(734) 712-3106
Mailing address
24 FRANK LLOYD WRIGHT DR LBBY J2000, ANN ARBOR, MI 48105-9484
(734) 747-6766
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704300512
MI
363L00000X
Nurse Practitioner
F07190403
MI
Other
Enumeration date
07/25/2019
Last updated
05/17/2021
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