Individual
AMANDA LEANNE SPRINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1815 E IRELAND RD, SOUTH BEND, IN 46614-2845
(574) 647-1700
(574) 291-3351
Mailing address
710 N NILES AVE, SOUTH BEND, IN 46617-1924
(574) 647-1610
(574) 237-6069
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01076829A
IN
207Q00000X
Family Medicine Physician
4301103853
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301103853
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001023314
ANTHEM BCBS
IN
05
—
201363450
—
IN
Enumeration date
06/27/2013
Last updated
04/05/2021
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