Amy G. Connolly PA-C

NPI 1033106331 - Physician Assistant - 363A00000X

NPI Details
NPI 1033106331
Gender Female
Enumeration Date 10/01/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
20400 W WARREN AVE
DETROIT MI, 48228-3242, US
Phone (313) 271-0500
Fax (313) 271-9313
Business Location
7348 RAFFORD LN
WEST BLOOMFIELD MI, 48322-3190, US
Phone (248) 592-0733
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Michigan
License Number 5601002695
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According to our database, Amy G. Connolly PA-C NPI is 1033106331, taxonomy code is 363A00000X and license number is 5601002695, license state is located at Michigan. Amy G. Connolly PA-C physically located at 20400 W Warren Ave, Detroit MI, 48228-3242. NPI Number Amy G. Connolly PA-C has the Individual type.

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1033106331 NPI number is provided on an as is basis without warranty of any kind. 1033106331 is maintained by the National Plan & Provider Enumeration System. The contents of Amy G. Connolly PA-C are for informational purposes only.