Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael Amlog, MD

Individual provider Family Medicine Physician · NPI 1215196225

Michael Amlog, MD is a Family Practice in Ann Arbor, Michigan. Qualified in 2006, 20 years ago. Practices with Theoria Medical, a 342-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
20
Licensed in
MI
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2755 Carpenter Rd Ste 1S
Ann Arbor, MI 48108-2360
Phone: (734) 975-5000
Fax: (734) 975-0376
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4301092365 (MI)

Record details

NPI number1215196225
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 4, 2008
Last updated in NPPESJuly 10, 2014
Mailing addressPo Box 1239, Troy, MI 48099-1239

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Theoria Medical — 342 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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