NPI 1013355171

Amy M Medina

Practitioner Contractor Waterford, MI

Practice location

Address: 2530 Campbellgate Dr, Waterford, MI 48329-3118
Phone: (248) 709-7230

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1013355171
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Jun 2013
Record last updated: 11 Jun 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.