| Aml Medical PLLC | |
|
17330 Northland Park Ct Ste 205 Southfield MI 48075-4323 | |
| (313) 801-7711 | |
| Not Available |
| Full Name | Aml Medical PLLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 17330 Northland Park Ct Ste 205, Southfield, Michigan |
| Authorized Official Name and Position | Asia Maxine Bradley (OWNER) |
| Authorized Official Contact | 3132041325 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aml Medical PLLC 2222 W Grand River Ave Ste A Okemos MI 48864-1604 | Aml Medical PLLC 17330 Northland Park Ct Ste 205 Southfield MI 48075-4323 Ph: (313) 801-7711 |
| NPI Number | 1487280681 |
|---|---|
| Provider Enumeration Date | 03/19/2020 |
| Last Update Date | 06/26/2025 |
| Certification Date | 06/26/2025 |
| Medicare PECOS PAC ID | 3375972508 |
|---|---|
| Medicare Enrollment ID | O20200408004265 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487280681 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Secondary |
| 261QH0100X | Clinic/center - Health Service | (NU) | Primary |
| Provider Name | Asia Maxine Bradley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821437211 PECOS PAC ID: 9931425139 Enrollment ID: I20181120000654 |
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