| Doctor Name: | DR. ANDREA AMALFITANO |
| NPI Number: | 1134133762 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | 5101011076 |
| Business Practice Address: | 1600 W Grand River Ste 2 Okemos, MI - 48864 |
| Business Phone Number: | 5173496560 |
| Business Fax Number: | 5173495796 |
| Mailing Address: | 1600 W Grand River Ste 2, OKEMOS |
| State: | MI |
| Postal Code: | 48864 |
| Phone Number: | 5173496560 |
| Fax Number: | 5173495796 |
| NPI Enumeration Date: | 07/28/2006 |
| NPI Last Update Date: | 08/28/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207SG0201X |
| License Number: | 5101011076 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Medical Genetics |
| Taxonomy Specialization: | Clinical Genetics (M.D.) |
| Taxonomy Definition: | A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. |