Individual
AMANDA RENEE SPICKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4611 CAMPUS RIDGE DR, MIDLAND, MI 48640-9533
(989) 839-3500
Mailing address
4000 WELLNESS DR, MIDLAND, MI 48670-2000
(844) 832-1956
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601009626
MI
Other
Enumeration date
12/11/2019
Last updated
01/23/2020
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