SearchMichigan163WS0200X

Amber Prong

NPI 1174447163 · on the registry since 2026 · sole proprietor

Practice

Address
14902 Merriman Rd
Livonia, MI 48154
Phone
(734) 578-8279

Registry record

Primary taxonomy
163WS0200X
163WS0200X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-08-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan