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Individual

MRS. AMBER E KINTIGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PAC

Contact information

Practice address
3434 RIVERTOWN POINT CT SW, GRANDVILLE, MI 49418-3076
(616) 257-3344
(616) 257-1491
Mailing address
3434 RIVERTOWN POINT CT SW, GRANDVILLE, MI 49418-3076
(616) 257-3344
(616) 257-1491

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
56010043894
MI
363A00000X
Physician Assistant
Primary
5601004384
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5601004384
STATE LICENSE #
MI
Enumeration date
07/11/2006
Last updated
07/31/2024
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