OrganizationActive
Amanda Hallberg MD PLLC
NPI 1790193084 · Primary Care Clinic/Center · Ann Arbor, MI
Provider details
- NPI number
- 1790193084
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Amanda Hallberg, Physician Owner/Sole Owner(734) 547-3990
- License
- 4301081734 (MI)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
2880 S. State Street
Suite 215
Ann Arbor, MI 48104
Phone: (734) 547-3990
Fax: (734) 547-3980
Approximate (ZIP-level) locationGet directions
Mailing address
2880 S. State Street
Ann Arbor, MI 48104
Other names (DBA / former)
- Former legal business name
- Amanda Kaufman MD PLLC
Registry dates
- Enumerated
- 2014-07-30
- Last updated
- 2025-05-29
- Certified
- 2022-08-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.