Individual
MRS. AMANDA TRAN CASTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
Mailing address
3761 BRIDGEHAMPTON DR NE, GRAND RAPIDS, MI 49546-1450
(616) 492-0961
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5601005411
MI
363AM0700X
Medical Physician Assistant
012364
NY
363AM0700X
Medical Physician Assistant
Primary
5601005411
MI
Other
Enumeration date
03/03/2008
Last updated
01/04/2024
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