Individual
AMY S VAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14555 LEVAN RD., SUITE 116, LIVONIA, MI 48154
(734) 853-1510
Mailing address
22223 CASCADE DR., NOVI, MI 48375
(734) 502-7918
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/17/2017
Last updated
09/07/2021
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