Individual
AMANDA GOERGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2899 RUSSELL DR, HOWELL, MI 48843-8881
(517) 375-5625
Mailing address
2899 RUSSELL DR, HOWELL, MI 48843-8881
(517) 375-5625
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
12/12/2016
Last updated
12/12/2016
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