Individual
AMANDA MARIE ROEGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15855 19 MILE RD, CLINTON TWP, MI 48038-3504
(586) 263-2300
Mailing address
7185 VISTA DR, SHELBY TOWNSHIP, MI 48316-5862
(586) 907-7647
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
129603
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704307508
MI
Other
Enumeration date
12/25/2019
Last updated
08/18/2025
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