Individual
AMBER PAIGE GALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4444 KALAMAZOO AVE SE STE 200, KENTWOOD, MI 49508-4600
(616) 391-5600
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704265136
MI
Other
Enumeration date
06/15/2016
Last updated
02/24/2023
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