Individual
MS. AMANI TANIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
22201 MOROSS RD, SUITE 170, DETROIT, MI 48236-2169
(586) 247-4300
(586) 532-6496
Mailing address
813 MERCER CT, ROCHESTER HILLS, MI 48307-3091
(248) 563-6104
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601006854
MI
Other
Enumeration date
10/25/2013
Last updated
03/15/2019
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