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Individual

DR. AMY MARIE BRUMMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3901 BEAUBIEN ST, DEPT OF PEDIATRIC ANESTHESIOLOGY, DETROIT, MI 48201-2119
(313) 745-5535
(313) 745-5448
Mailing address
4575 RAVINEWOOD DR, COMMERCE TOWNSHIP, MI 48382-1643
(248) 310-3847

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
BP1-0031942
TX
207LP3000X
Pediatric Anesthesiology Physician
Primary
4301101596
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
BP1-0031942
PHYSICIAN IN TRAINING PERMIT
TX
Enumeration date
05/24/2008
Last updated
05/18/2013
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