Individual
AMANDA MANDRYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3570 HENRY ST STE 220, NORTON SHORES, MI 49441-4576
(231) 672-3155
Mailing address
3145 10TH ST NW, GRAND RAPIDS, MI 49504-3662
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601012961
MI
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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