Individual
RANDALL J AMIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4201 SAINT ANTOINE ST, SUITE 3J.1.1, DETROIT, MI 48201-2153
(313) 745-4300
Mailing address
3800 WOODWARD AVE, SUITE 600, DETROIT, MI 48201-2061
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301048913
MI
Other
Enumeration date
04/25/2007
Last updated
01/28/2008
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