Individual
DR. AMANDA JOYCE WHITTAKER
Active
Individual
DR. AMANDA JOYCE WHITTAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
4301101516
MI
207VX0000X
Obstetrics Physician
Primary
35127572
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0172547
—
OH
Enumeration date
07/02/2012
Last updated
06/09/2017
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