DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. AMANDA LYNN MINICH D.O.

MEDICARE: DR. AMANDA LYNN MINICH D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician5101018160MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1467681387
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMANDA LYNN MINICH D.O.
Provider Business Mailing Address
First Line : 4939 CROOKS RD
Second Line :
City : ROYAL OAK
State : MI
Zip : 48073-1202
Country : US
Telephone Number : 517-449-2105
Fax Number :
Provider Business Practice Location Address
First Line : 6450 MAPLE ST
Second Line :
City : DEARBORN
State : MI
Zip : 48126-2259
Country : US
Telephone Number : 313-842-7010
Fax Number : 313-842-5150
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2009
Last Update Date : 10/12/2018

Similar Medicare Providers

1689521528 — SAHER Z OMER
Practice Location Address:
6450 MAPLE ST
DEARBORN, MI
48126-2259
Practice Phone: 313-216-2200
Practice Fax:
1356495295 — ARAB COMMUNITY CENTER FOR ECONOMIC AND SOCIAL SERVICES
Practice Location Address:
6450 MAPLE ST
DEARBORN, MI
48126-2259
Practice Phone: 313-216-2200
Practice Fax: 313-584-3206
1437272358 — MS. KATHERINE MARIE KLIMA CNM
Practice Location Address:
6450 MAPLE ST
DEARBORN, MI
48126-2259
Practice Phone: 313-216-2255
Practice Fax:
1437343068 — DR. RANDA AZMEH M.D.
Practice Location Address:
6450 MAPLE ST
DEARBORN, MI
48126-2259
Practice Phone: 313-216-2202
Practice Fax: 313-584-3206
1194082081 — HUSAM AHMAD ABDULKHALEQ LPC
Practice Location Address:
6450 MAPLE ST
DEARBORN, MI
48126-2259
Practice Phone: 313-216-2242
Practice Fax: 313-584-3622
1699198606 — ELITE ACCESS PHARMACY INC
Practice Location Address:
6450 MAPLE ST
DEARBORN, MI
48126-2259
Practice Phone: 313-216-2213
Practice Fax: 313-584-3249

Directions to “ DR. AMANDA LYNN MINICH D.O.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.