Individual provider · Type 1 NPI

Amanda Danielle Greene

Medical Physician Assistant · Petoskey, MI

NPI number 1083183578 Active

Practice location

116 W Mitchell St
Petoskey, MI 49770-2357

Mailing address

2111 Fantasy Ln
Midland, MI 48642-7407

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Medical Physician Assistant Primary 363AM0700X5601009649 (MI)

Medical Physician Assistant: Definition to come...

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About NPI 1083183578

Amanda Danielle Greene's National Provider Identifier is 1083183578, issued on Nov 14, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Petoskey, MI. The record was last updated on Aug 24, 2022.