Individual
MS. MANDY JO BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1535 GULL RD, SUITE 020, KALAMAZOO, MI 49048-1650
(269) 381-4577
Mailing address
1535 GULL RD, SUITE 020, KALAMAZOO, MI 49048
(269) 381-4577
(269) 381-6409
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
5601004616
MI
Other
Enumeration date
05/31/2006
Last updated
12/30/2008
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