Individual
AMANDA VENETTIS HALADIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
44201 DEQUINDRE RD, TROY, MI 48085-1117
(248) 964-1007
(248) 964-6065
Mailing address
130 TOWN CENTER DR, SUITE 203, TROY, MI 48084-1744
(248) 585-8265
(248) 585-8266
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5101020303
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/12/2013
Last updated
03/08/2017
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