Individual
AMANDA MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
37595 7 MILE RD STE 340, LIVONIA, MI 48152-1489
(734) 793-2470
(734) 793-2471
Mailing address
24 FRANK LLOYD WRIGHT DR STE J2000, ANN ARBOR, MI 48105-9484
(734) 747-6766
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301514025
MI
208600000X
Surgery Physician
2017022321
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/29/2017
Last updated
06/27/2025
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