Healthcare Provider Details

I. General information

NPI: 1013524859
Provider Name (Legal Business Name): AMBER FEYS PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: AMBER LEE PA-C

II. Dates (important events)

Enumeration Date: 09/25/2020
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37000 GRAND RIVER AVE STE 310
FARMINGTON HILLS MI
48335-2868
US

IV. Provider business mailing address

37000 GRAND RIVER AVE STE 310
FARMINGTON HILLS MI
48335-2868
US

V. Phone/Fax

Practice location:
  • Phone: 248-536-2127
  • Fax: 248-893-6952
Mailing address:
  • Phone: 248-536-2127
  • Fax: 248-893-6952

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: