AMANDA NOVAK

GRAND RAPIDS, MI
NPI1942594338
Former NameAMANDA HERD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601006053)
Enumeration Date2011-06-03
Last Update Date2021-05-10
Business Address
AMANDA NOVAK PA-C
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503-4502
Phone number: 616-754-5036
Mailing Address
AMANDA NOVAK PA-C
5555 GLENWOOD HILLS PKWY SE STE 2
GRAND RAPIDS, MI 49512-2091
Phone number: 616-940-2662
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