Individual
AMANDA DUNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22101 MOROSS RD, DETROIT, MI 48236-2148
(313) 343-4000
Mailing address
21930 CHRISTENBURY CREEK BLVD, MACOMB, MI 48044-5227
(810) 531-7873
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704242622
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704242622
MI
Other
Enumeration date
12/15/2008
Last updated
07/16/2020
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