Individual
DR. AMANDA MELISSA HUVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3355 EAGLE PARK DR NE, STE103, GRAND RAPIDS, MI 49525-7004
(616) 942-7400
(616) 942-7405
Mailing address
2249 WEALTHY ST SE, STE 202, GRAND RAPIDS, MI 49506-3052
(248) 952-1601
(248) 952-1614
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101010570
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154130014
BLUE CROSS OF MI
ID
01
—
1827384
UNITED HEALTH
MI
01
—
4325843
AETNA
MI
05
—
4341483
—
MI
Enumeration date
08/25/2005
Last updated
10/07/2016
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