Individual
AMANDA S RATHBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
345 NAOMI ST, PLAINWELL, MI 49080-1257
(269) 552-0100
Mailing address
5943 STADIUM DR, STE 1, KALAMAZOO, MI 49009-3016
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601006747
MI
Other
Enumeration date
09/12/2013
Last updated
09/12/2013
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