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Individual

AMANDA FERN YANCY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
28500 ORCHARD LAKE RD, SUITE 201, FARMINGTON HILLS, MI 48334-2936
(248) 539-0742
(248) 538-5410
Mailing address
28500 ORCHARD LAKE RD, SUITE 201, FARMINGTON HILLS, MI 48334-2936
(248) 539-0742
(248) 538-5410

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301074417
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4622072
MI
Enumeration date
07/29/2006
Last updated
08/18/2014
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