Individual
AMANDA HALLBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2800 S STATE ST, SUITE 215, ANN ARBOR, MI 48104-7103
(734) 547-3990
(734) 547-3980
Mailing address
2800 S STATE ST, SUITE 215, ANN ARBOR, MI 48104-7103
(734) 547-3990
(734) 547-3980
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301081734
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4778340
—
MI
Enumeration date
10/11/2006
Last updated
04/09/2025
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