Individual
AMANDA ELIZABETH DARNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3601 WASHTENAW AVE, ANN ARBOR, MI 48104-5277
(734) 973-1969
Mailing address
330 JUDD RD, MILAN, MI 48160-8913
(616) 745-4424
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004498
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
223498755
—
MI
Enumeration date
09/23/2008
Last updated
09/23/2008
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