NPI 1265368948

Amanda Lynn Gervasoni, DPM

Practitioner Podiatrist Farmington Hills, MI

Practice location

Address: 28050 Grand River Ave, Farmington Hills, MI 48336-5919
Phone: (947) 521-8000

Registered specialties

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 5951001628 (MI)

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Registry record

NPI: 1265368948
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Jun 2026
Record last updated: 22 Jun 2026

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.