IndividualActive
Amy Iaquinta-Wilkerson, PA-C
NPI 1063532810 · Medical Physician Assistant · Livonia, MI
Provider details
- NPI number
- 1063532810
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 5601002050 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
36123 Schoolcraft Rd
Livonia, MI 48150-1216
Phone: (734) 464-0887
Fax: (734) 402-0254
Approximate (ZIP-level) locationGet directions
Mailing address
36123 Schoolcraft Rd
Livonia, MI 48150-1216
Registry dates
- Enumerated
- 2007-03-29
- Last updated
- 2017-04-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.