AMANDA HALLBERG MD PLLC NPI 1790193084

NPI Information

  • NPI: 1790193084
  • Provider Name: AMANDA HALLBERG MD PLLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • :
  • Address: 2880 S. STATE STREET
    SUITE 215
    ANN ARBOR, MI
    ZIP 48104
  • Phone: (734) 547-3990

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NPI Details

AMANDA HALLBERG MD PLLC is a primary care clinic center in Ann Arbor, MI. AMANDA HALLBERG MD PLLC NPI is 1790193084. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

2880 S. STATE STREET
SUITE 215
ANN ARBOR, MI
ZIP 48104
Phone: (734) 547-3990
Fax: (734) 547-3980

The provider's authorized official is Amanda Joy Hallberg .
The authorized official title is Physician Owner/sole Owner and has the following contact phone number (734) 547-3990.

The enumeration date for this NPI number is 7/30/2014 and was last updated on 5/29/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary Care4301081734MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14778340MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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