Individual
AMANDA CHRISTINE ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
35 MICHIGAN ST NE STE 3003, GRAND RAPIDS, MI 49503-2528
(616) 267-2009
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
4704260506
MI
Other
Enumeration date
11/17/2011
Last updated
07/31/2023
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