NPI 1023420593

Amanda Mary Thompson, PAC

Practitioner Physician Assistant Royal Oak, MI

Practice location

Address: 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712
Phone: (248) 898-4021
Mailing address: 26901 Beaumont Blvd, Southfield, MI 48033-3849

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 5601007033 (MI)

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Registry record

NPI: 1023420593
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Jun 2014
Record last updated: 11 May 2022

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.