Individual
MRS. AMANDA CATHERINE TILKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O.T.A.
Contact information
Practice address
127 ELM ST, STOCKBRIDGE, MI 49285-9652
(517) 745-5115
Mailing address
127 ELM ST, STOCKBRIDGE, MI 49285-9652
(517) 745-5115
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
5202006643
MI
Other
Enumeration date
07/11/2008
Last updated
07/11/2008
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