Individual
AMANDA ANN VIVIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1435 N MILFORD RD STE 101, MILFORD, MI 48381-1015
(248) 685-9780
(248) 684-2251
Mailing address
1435 N MILFORD RD STE 101, MILFORD, MI 48381-1015
(248) 685-9780
(248) 684-2251
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101021168
MI
Other
Enumeration date
05/26/2014
Last updated
07/21/2022
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