Individual
MRS. AMANDA S KATY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
4201 SAINT ANTOINE ST, SUITE 3R, DETROIT, MI 48201-2153
(313) 745-3330
(313) 745-3653
Mailing address
4201 SAINT ANTOINE ST, SUITE 3R, DETROIT, MI 48201-2153
(313) 745-3330
(313) 745-3653
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601005738
MI
363A00000X
Physician Assistant
MA055272
PA
Other
Enumeration date
07/07/2010
Last updated
05/07/2024
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