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Individual

SEJAL R AMIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1000 WALL ST, ANN ARBOR, MI 48105-1912
(734) 764-5106
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
105651
MN
207W00000X
Ophthalmology Physician
Primary
4301105322
MI
207W00000X
Ophthalmology Physician
54336
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00992423
RAILROAD MEDICARE
MN
Enumeration date
04/27/2010
Last updated
05/14/2014
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