Individual
DR. AMY LYNN FELLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
6245 INKSTER RD, GARDEN CITY, MI 48135-4001
(734) 458-3430
Mailing address
1806 6TH AVE S, BIRMINGHAM, AL 35233-1932
(205) 437-6098
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
5101016163
MI
207P00000X
Emergency Medicine Physician
Primary
DO1027
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051592317
BC/BS OF ALABAMA
AL
05
—
104001
—
AL
01
—
1225165046
CHAMPUS
AL
Enumeration date
02/28/2007
Last updated
09/29/2009
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