Healthcare Provider Details
I. General information
NPI: 1841380904
Provider Name (Legal Business Name): AMY F SAUNDERS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 10/12/2006
Last Update Date: 12/19/2023
Certification Date: 12/19/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2800 S STATE ST STE 215
ANN ARBOR MI
48104-7103
US
IV. Provider business mailing address
2800 S STATE ST STE 215
ANN ARBOR MI
48104-7103
US
V. Phone/Fax
- Phone: 734-547-3990
- Fax: 734-547-3980
- Phone: 734-547-3990
- Fax: 734-547-3980
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | 4301059810 |
| License Number State | MI |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: