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Individual

AMY ELIZABETH ROTHBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
24 FRANK LLOYD WRIGHT DR, ANN ARBOR, MI 48105-9484
(734) 647-5871
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301067926
MI
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
4301067926
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1108138921
BCBS
MI
01
700H110750
BCBS
MI
01
C6596
MCARE
MI
Enumeration date
08/31/2006
Last updated
08/27/2020
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