Provider Demographics
NPI:1487963591
Name:MAC, AMI (MD)
Entity type:Individual
Prefix:DR
First Name:AMI
Middle Name:
Last Name:MAC
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Gender:F
Credentials:MD
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Mailing Address - Street 1:201 DEFENSE HWY
Mailing Address - Street 2:SUITE 205
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-8943
Mailing Address - Country:US
Mailing Address - Phone:410-571-2946
Mailing Address - Fax:410-571-2947
Practice Address - Street 1:39475 LEWIS DR
Practice Address - Street 2:SUITE 200
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48377-2981
Practice Address - Country:US
Practice Address - Phone:248-697-2880
Practice Address - Fax:248-856-2544
Is Sole Proprietor?:No
Enumeration Date:2010-10-07
Last Update Date:2017-01-10
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Provider Licenses
StateLicense IDTaxonomies
MI4301092968208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation