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Individual

MRS. AMELIA LOUISE EVENHOUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
5623 GULL RD STE 500, KALAMAZOO, MI 49048-1098
(269) 775-8031
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601008773
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1902387962
MI
Enumeration date
08/27/2018
Last updated
03/17/2025
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