Individual
DR. AMANDA MARIE MCCLURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5325 ELLIOTT DR, SUITE 104, YPSILANTI, MI 48197-8633
(734) 712-8150
(734) 712-8151
Mailing address
24 FRANK LLOYD WRIGHT DR, PO BOX 0446 LOBBY J, ANN ARBOR, MI 48105-9484
(734) 747-6766
(734) 222-3100
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4301092562
MI
208C00000X
Colon & Rectal Surgery Physician
Primary
4301092562
MI
208C00000X
Colon & Rectal Surgery Physician
MD166048
OR
390200000X
Student in an Organized Health Care Education/Training Program
ME115518
FL
Other
Enumeration date
06/26/2008
Last updated
11/23/2015
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