Individual
AMY LOUISE FOGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
115 E LONG LAKE RD, TROY, MI 48085-5524
(482) 828-7500
Mailing address
115 E LONG LAKE RD, TROY, MI 48085-5524
(248) 828-7500
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
4704318805
MI
Other
Enumeration date
06/26/2022
Last updated
06/12/2023
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