Individual
AMY GOTTSCHALK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11368 ALLEN RD, TAYLOR, MI 48180-4372
(734) 403-2222
Mailing address
1222 AMELIA AVE, ROYAL OAK, MI 48073-2707
(248) 342-8446
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704272666
MI
Other
Enumeration date
03/19/2016
Last updated
10/30/2019
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