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Individual

MS. AMY MARIE RATHJE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNNP, MSN, RNC

Contact information

Practice address
1500 E MEDICAL CENTER DR, 8TH FLOOR C.S. MOTT CHILDRENS HOSPITAL, ANN ARBOR, MI 48109-5000
(734) 763-4109
(734) 763-7728
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108-1633
(734) 936-2047

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704231736
MI
363LN0000X
Neonatal Nurse Practitioner
L1226250
MI

Other

Enumeration date
06/12/2008
Last updated
04/29/2013
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