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Organization
AMANDA K NIXON PA-C PC
Active
Organization
AMANDA K NIXON PA-C PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA NIXON PA-C (OWNER)
(231) 920-1875
Entity
Organization
Contact information
Practice address
202 S HOWARD ST, TUSTIN, MI 49688-5123
(231) 465-4165
(231) 465-4315
Mailing address
PO BOX 74, TUSTIN, MI 49688-0074
(231) 465-4165
(231) 465-4315
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NULL
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/22/2017
Last updated
08/06/2019
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