Individual
AMANDA DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1923 S UTICA AVE, TULSA, OK 74104-6520
(918) 744-3131
Mailing address
4100 EMBASSY DR SE STE 200, GRAND RAPIDS, MI 49546-2416
(616) 975-1845
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
515315232938
MI
207P00000X
Emergency Medicine Physician
8916
OK
Other
Enumeration date
05/08/2021
Last updated
09/13/2025
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