Provider Demographics
NPI:1558321513
Name:DUNN, AMY D (MD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:D
Last Name:DUNN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:6900 ORCHARD LAKE RD
Mailing Address - Street 2:STE 206
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322
Mailing Address - Country:US
Mailing Address - Phone:248-855-7510
Mailing Address - Fax:248-855-5626
Practice Address - Street 1:6900 ORCHARD LAKE RD
Practice Address - Street 2:STE 206
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322
Practice Address - Country:US
Practice Address - Phone:248-855-7510
Practice Address - Fax:248-855-5626
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2011-12-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301044526208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1927330Medicaid
0630572Medicare ID - Type Unspecified
MI1927330Medicaid