Amy L Widenbaum (NPI# 1558428276, PAC ID# 5294628970) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1558428276 |
| PAC ID by PECOS | 5294628970 |
| Professional Enrollment ID | I20040205000989 |
| Full Name | Amy L Widenbaum |
| Address |
23023 Orchard Lake Rd Suite A1 Farmington MI 48336-3267 |
| Gender | F |
| Credential | CSW |
| Graduation Year | 1994 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 23023 Orchard Lake Rd, Suite A1, Farmington, MI 48336-3267 |
| Street Address |
23023 ORCHARD LAKE RD SUITE A1 |
| City | FARMINGTON |
| State | MI |
| Zip | 48336-3267 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Priti P Shah | Chiropractic | 23023 Orchard Lake Rd, Farmington, MI 48336-3209 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy Lamar Chapman | Psychiatry | 25882 Orchard Lake Rd, Suite L 5, Farmington Hills, MI 48336-1269 | |
| Allan N Zatkin | Chiropractic | 25882 Orchard Lake Rd, Suite 205, Farmington Hills, MI 48336-1295 | |
| Vanessa F Brown | Psychologist, Clinical | Samaritan Counseling Center of Southeastern Michigan | 29887 W 11 Mile Rd, Farmington Hills, MI 48336-1309 |
| Karen A Schurgin | Psychologist, Clinical | Samaritan Counseling Center of Southeastern Michigan | 29887 W 11 Mile Rd, Farmington Hills, MI 48336-1309 |
| Charles D Elias Jr. | Clinical Social Worker | 31636 Rocky Crst, Farmington Hills, MI 48336-1833 | |
| Emilio R Limchoa | Family Medicine | 24381 Orchard Lake Rd, Farmington Hills, MI 48336-1917 | |
| Rachel Secunda | Physician Assistant | Alan T Ghassan Md PC | 24333 Orchard Lake Rd, Farmington Hills, MI 48336-1976 |
| George E Gopoian | Podiatry | 24333 Orchard Lake Rd B, Farmington Hills, MI 48336-1976 | |
| Rohini Singh Pradhan | Internal Medicine | Ascension Medical Group Michigan | 24333 Orchard Lake Rd, Suite C, Farmington Hills, MI 48336-1976 |
| George P Gopoian | Podiatry | George P. Gopoian, D.p.m., P.C. | 24333 Orchard Lake Rd B, Farmington Hills, MI 48336-1976 |
| Find all physicians in zip 48336 | |||
| City | FARMINGTON |
| Zip Code | 48336 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | FARMINGTON + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Amy L Widenbaum.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.