Individual
AMANDA NAA ATSWEI LARYEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560
(616) 391-6243
Mailing address
35618 RUTHERFORD ST, CLINTON TOWNSHIP, MI 48035-2676
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5315256772
MI
Other
Enumeration date
06/15/2023
Last updated
06/18/2025
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