Individual
AMBER E BUDZINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
15855 NINETEEN MILE RD, EMERGENCY MEDICINE DEPARTMENT, CLINTON TOWNSHIP, MI 48038-3504
(586) 263-2601
(586) 263-2589
Mailing address
38935 ANN ARBOR ROAD, CREDENTIALING/PAYER CONTRACTING SERVICES, LIVONIA, MI 48150-3397
(734) 632-0175
(734) 632-0182
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601005651
MI
363AM0700X
Medical Physician Assistant
5601005651
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12327882
CAQH
—
Enumeration date
10/09/2009
Last updated
09/25/2014
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