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Individual

AMANDA WEILAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
2142 N COVE BLVD, TOLEDO, OH 43606-3895
(419) 291-4000
Mailing address
10783 BOULDERCREST DR, SOUTH LYON, MI 48178-8199
(734) 748-3910

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704304840
MI
163W00000X
Registered Nurse
475047
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
146894
OH

Other

Enumeration date
12/26/2022
Last updated
12/26/2022
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