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Individual

AMANDA SIEGEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
5569 GRASSY MEADOWS AVE, KALAMAZOO, MI 49048-8220
(909) 883-2999
Mailing address
12227 N MAINSTREET UNIT 3, RANCHO CUCAMONGA, CA 91739-8501
(909) 964-4816

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
55389
CA
363A00000X
Physician Assistant
Primary
MI

Other

Enumeration date
02/23/2018
Last updated
12/19/2022
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