Provider Demographics
NPI:1386663789
Name:AMANN, BIRGIT (MD)
Entity Type:Individual
Prefix:DR
First Name:BIRGIT
Middle Name:
Last Name:AMANN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1639 E BIG BEAVER RD STE 201
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48083-2054
Mailing Address - Country:US
Mailing Address - Phone:248-528-9000
Mailing Address - Fax:248-528-9005
Practice Address - Street 1:1639 E BIG BEAVER RD
Practice Address - Street 2:STE. 201
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48083-2053
Practice Address - Country:US
Practice Address - Phone:248-528-9000
Practice Address - Fax:248-275-1958
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43010633012084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI08669640OtherBCBSM
MI0989436OtherHEALTH CHOICE
MI136079OtherVALUE OPTIONS
MI06334861OtherBCBSM
MIN95170001Medicare PIN
MIG971752Medicare UPIN