Individual
MRS. AMANDA JANE MARCOZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(248) 849-3000
Mailing address
2304 DALLAS AVE, ROYAL OAK, MI 48067-3522
(269) 598-3855
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601004782
MI
Other
Enumeration date
09/20/2006
Last updated
12/17/2014
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