Individual
MRS. AMANDA M RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
300 W WASHINGTON AVE STE 250, JACKSON, MI 49201-2160
(517) 539-3188
(517) 539-3189
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601004537
MI
Other
Enumeration date
12/13/2006
Last updated
10/25/2022
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