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NPI Code Detail

MEDICARE: DR. AMY L DEAN D.O.

MEDICARE: DR. AMY L DEAN 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
1207R00000XInternal Medicine PhysicianOS21509FL
2204D00000XNeuromusculoskeletal Medicine & OMM PhysicianOS21509FL

General Provider Information

NPI Number : 1982615357
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMY L DEAN D.O.
Provider Business Mailing Address
First Line : 1150 E SHERMAN BLVD STE 2400
Second Line :
City : MUSKEGON
State : MI
Zip : 49444-1886
Country : US
Telephone Number : 231-672-6336
Fax Number : 231-672-6335
Provider Business Practice Location Address
First Line : 1150 E SHERMAN BLVD STE 2400
Second Line :
City : MUSKEGON
State : MI
Zip : 49444-1886
Country : US
Telephone Number : 231-672-6336
Fax Number : 231-672-6335
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2006
Last Update Date : 04/03/2026

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