Individual
AMY MARIE BERTHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
NEW CENTER ONE/ENDOCRINOLOGY/METABOLISM, 3031 W. GRAND BLVD, DETROIT, MI 48202
(313) 916-9658
Mailing address
16718 FAIRWAY ST, LIVONIA, MI 48154-2116
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704263537
MI
Other
Enumeration date
06/27/2017
Last updated
06/27/2017
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