Individual
AMY EBBING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
15855 19 MILE RD, CLINTON TOWNSHIP, MI 48038-3504
(586) 263-2601
Mailing address
3470 SHAKESPEARE DR, TROY, MI 48084-1489
(248) 918-8537
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601008551
MI
Other
Enumeration date
01/30/2018
Last updated
02/24/2021
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