Individual
ANDREA MACINTOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
376 E APPLE AVE, MUSKEGON, MI 49442-3466
(231) 724-3626
Mailing address
376 E APPLE AVE, MUSKEGON, MI 49442-3466
(231) 724-3626
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601009618
MI
Other
Enumeration date
11/14/2018
Last updated
01/30/2020
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