Individual
MS. AMY MARIE POPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
6913 N MAIN ST, GRANGER, IN 46530-8039
(574) 647-1500
(574) 243-4306
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
(574) 647-2713
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085-003846
IL
363A00000X
Physician Assistant
Primary
10002444A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300125809
—
IN
Enumeration date
09/14/2010
Last updated
03/04/2026
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