Individual
AMY BETH LOCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1801 BRIARWOOD CIR, ANN ARBOR, MI 48108-3347
(734) 998-7390
Mailing address
1525 W 2100 S, SALT LAKE CITY, UT 84119-1401
(801) 581-8000
(801) 585-5393
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301074697
MI
207Q00000X
Family Medicine Physician
Primary
9567115-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4427659
—
MI
Enumeration date
10/11/2006
Last updated
11/18/2021
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