Individual
AMY BETH HOOBERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MHSA
Contact information
Practice address
4260 PLYMOUTH RD, ANN ARBOR, MI 48109-2700
(734) 647-5650
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
125058042
IL
207R00000X
Internal Medicine Physician
Primary
4301116742
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125058042
TEMPORARY ILLINOIS PROVIDER NUMBER
IL
Enumeration date
07/04/2010
Last updated
05/21/2020
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