Individual
MRS. AMANDA MARIE CZARNECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MMS
Contact information
Practice address
751 SAPPINGTON BRIDGE RD, SULLIVAN, MO 63080-2354
(573) 468-1120
Mailing address
4075 COPPER RIDGE DR, TRAVERSE CITY, MI 49684-7059
(888) 632-0542
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085006964
IL
363A00000X
Physician Assistant
2008013234
MO
Other
Enumeration date
04/18/2008
Last updated
03/11/2019
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