Individual
AMY MARIE KIRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
44555 WOODWARD AVE, SUITE 206, PONTIAC, MI 48341-5031
(248) 338-7171
(248) 858-3889
Mailing address
44555 WOODWARD AVE, SUITE 206, PONTIAC, MI 48341-5031
(248) 338-7171
(248) 858-3889
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
AK070384
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4415961
—
MI
Enumeration date
08/30/2006
Last updated
07/08/2007
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