Organization
DIALYSIS AND NEPHROLOGY CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA MELISSA GOMES MD (OWNER/PROVIDER)
(314) 368-0824
Entity
Organization
Contact information
Practice address
648 PROGRESS STREET, STE 101, WEST BRANCH, MI 48661-8602
(989) 345-0204
(989) 345-3727
Mailing address
648 PROGRESS STREET, STE 101, WEST BRANCH, MI 48661-8602
(586) 446-8400
(586) 446-8423
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
CM040033
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0090010
BLUE CROSS SHIELD MI
MI
05
—
3037050
—
MI
Enumeration date
02/22/2006
Last updated
02/23/2026
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