Individual
DR. AMANDA J TOOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
21000 E 12 MILE RD, SUITE 111, SAINT CLAIR SHORES, MI 48081
(586) 779-7610
(586) 445-2523
Mailing address
21000 E 12 MILE RD, STE 111, ST CLAIR SHORES, MI 48081
(586) 226-4301
(586) 445-2523
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
AT077352
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0405011091
BLUE CROSS BLUE SHIELD
—
01
—
0501109
BLUE CARE NETWORK
—
01
—
104263
GREAT LAKES
—
01
—
131198
CARE CHOICES
—
01
—
4112028002
CIGNA
—
05
—
4284574
—
MI
01
—
7246248
AETNA
—
01
—
C7547
MCAR
—
01
—
H31309
HEALTH ALLIANCE PLAN
—
Enumeration date
09/29/2006
Last updated
10/05/2007
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