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General NPI Number Information
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NPI Number | 1619315470
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Entity Type | Individual
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Provider Name | AMANDA CHRISTINE FOLEY M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/13/2013
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1540 E HOSPITAL DR SPC 4245
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City | ANN ARBOR
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State | MI
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Zip | 48109-4245
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Country | US
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Telephone | 734-232-8990
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Fax |
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Provider Business Mailing Address
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Address Line | 659 W RANDOLPH ST #914
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City | CHICAGO
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State | IL
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Zip | 60661-2151
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Country | US
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Telephone | 216-403-2192
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 4301111713
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License Number State | MI
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