Provider Demographics
NPI:1366735128
Name:WARNAT, AMBER (MD)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:
Last Name:WARNAT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4141 3 OAKS DR
Mailing Address - Street 2:APT 2A
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48098-4513
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:22039 JOHN R RD
Practice Address - Street 2:
Practice Address - City:HAZEL PARK
Practice Address - State:MI
Practice Address - Zip Code:48030-1712
Practice Address - Country:US
Practice Address - Phone:248-336-3937
Practice Address - Fax:248-336-3938
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-25
Last Update Date:2016-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIL1826429207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology