Search › Michigan › 235Z00000X
Amy Phan
NPI 1679483176 · on the registry since 2026 · sole proprietor
Practice
- Address
- 465 E Jackson St
Lake Orion, MI 48362 - Phone
- (248) 693-5460
Additional practice sites
- 1155 Joslyn Rd, Lake Orion, MI
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-09-09
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