Individual
MRS. AMY MCCARTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1375 S LAPEER RD, STE 210, LAKE ORION, MI 48360-1421
(248) 693-5700
(248) 693-5715
Mailing address
1375 S LAPEER RD, STE 210, LAKE ORION, MI 48360-1421
(248) 693-5700
(248) 693-5715
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301051681
MI
208000000X
Pediatrics Physician
4301051681
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3053518
—
MI
Enumeration date
06/21/2005
Last updated
10/03/2013
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