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Amanda Clark, BS, QIDP
NPI 1467028035 · on the registry since 2021
Practice
- Address
- 3310 Eagle Park Dr Ne
Grand Rapids, MI 49525 - Phone
- (616) 336-3909
- Clinicians at this address
- 23
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-06-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan