Individual
MRS. AMY BENEDICT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4124 56TH ST SW STE 2, WYOMING, MI 49418-9494
(616) 224-0120
Mailing address
4124 56TH ST SW STE 2, WYOMING, MI 49418-9494
(616) 224-0120
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601002370
MI
Other
Enumeration date
02/04/2008
Last updated
03/21/2025
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