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NPI Code Detail

MEDICARE: MS. AMY E UREEL MS PAC

MEDICARE:  MS. AMY E UREEL  MS PAC
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
1363LP2300XPrimary Care Nurse Practitioner5601004491MI
2363A00000XPhysician Assistant5601004491MI

General Provider Information

NPI Number : 1689781981
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. AMY E UREEL MS PAC
Provider Business Mailing Address
First Line : 6884 WOODMONT AVE
Second Line :
City : DETROIT
State : MI
Zip : 48228-3776
Country : US
Telephone Number : 313-582-2195
Fax Number :
Provider Business Practice Location Address
First Line : 503 W GRAND BLVD
Second Line :
City : DETROIT
State : MI
Zip : 48216-2200
Country : US
Telephone Number : 313-554-0227
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2006
Last Update Date : 03/03/2021

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Directions to “ MS. AMY E UREEL MS PAC” Practice Location

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