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Amanda Davis
NPI 1720497746 · on the registry since 2014
Practice
- Address
- 4095 Chicago Dr Sw
Grandville, MI 49418 - Phone
- (616) 261-0417
- Fax
- (616) 261-1459
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 237700000X
237700000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-10-24
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