Provider Demographics
NPI:1457513574
Name:AMOS, MEGAN THERESE (DO)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:THERESE
Last Name:AMOS
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:28711 8 MILE RD STE C
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48152-2041
Mailing Address - Country:US
Mailing Address - Phone:248-474-4590
Mailing Address - Fax:248-888-9127
Practice Address - Street 1:28711 8 MILE RD STE C
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152-2041
Practice Address - Country:US
Practice Address - Phone:248-474-4590
Practice Address - Fax:248-888-9127
Is Sole Proprietor?:No
Enumeration Date:2008-06-30
Last Update Date:2022-04-27
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Provider Licenses
StateLicense IDTaxonomies
MI5101017808207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology