Individual
AMANDA LEIGH-REYNDERS EZEKIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
100 MICHIGAN ST NE # MC020, GRAND RAPIDS, MI 49503-2560
(616) 391-2160
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
4704295923
MI
Other
Enumeration date
09/06/2016
Last updated
09/09/2022
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