Individual
AMIT A NANDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
105 COMMERCE DR, BROCKWAY, MI 48097-3460
(810) 387-9612
(810) 387-9611
Mailing address
3050 COMMERCE DR, SUITE B, FORT GRATIOT, MI 48059-3819
(810) 385-4441
(810) 385-1540
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301068236
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134196850
—
MI
Enumeration date
03/01/2006
Last updated
01/08/2010
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