Individual
MRS. AMY SLOAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
130 OAK ST, WAYLAND, MI 49348-1136
(269) 207-1906
(269) 792-1025
Mailing address
329 WILLOW RUN, WAYLAND, MI 49348-1371
(269) 207-1906
(269) 792-1025
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AS030276800
MI
Other
Enumeration date
12/07/2015
Last updated
12/07/2015
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