Individual
MRS. AMANDA MARIE GOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
43184 DEQUINDRE RD, STERLING HEIGHTS, MI 48314-1709
(586) 580-0280
Mailing address
43184 DEQUINDRE RD, STERLING HEIGHTS, MI 48314-1709
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704311131
MI
Other
Enumeration date
12/26/2018
Last updated
12/26/2018
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