Individual
AMANDA FAYE FARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322-3013
(248) 661-6440
(313) 916-9175
Mailing address
6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322-3013
(248) 661-6440
(313) 916-9175
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301510961
MI
208M00000X
Hospitalist Physician
4301510961
MI
Other
Enumeration date
06/02/2020
Last updated
02/21/2024
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