Individual provider · Type 1 NPI

Mandy Jo Bates, PA-C

Surgical Physician Assistant · Kalamazoo, MI

NPI number 1194772384 Active

Practice location

1535 Gull Rd, Suite 020
Kalamazoo, MI 49048-1650

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X5601004616 (MI)

Surgical Physician Assistant: Definition to come...

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About NPI 1194772384

Mandy Jo Bates, PA-C's National Provider Identifier is 1194772384, issued on May 31, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Kalamazoo, MI. The record was last updated on Dec 30, 2008.