NPI | 1790193084 |
---|---|
Former Legal Business Name | AMANDA KAUFMAN MD PLLC |
Entity Type | Organization |
Authorized Contact | AMANDA JOY DAKROUB Physician Owner 734-547-3990 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MI 4301081734) |
Enumeration Date | 2014-07-30 |
Last Update Date | 2022-08-11 |