Amy Lynn Wing PA

NPI 1083795504 - Physician Assistant - 363A00000X

NPI Details
NPI 1083795504
Gender Female
Enumeration Date 10/18/2006
Last Updated 02/03/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
100 MICHIGAN NW
SUITE A721
GRAND RAPIDS MI, 49503, US
Phone (616) 974-4493
Fax
Business Location
100 MICHIGAN ST NE
MC845
GRAND RAPIDS MI, 49503-2560, US
Phone
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Michigan
License Number 5601003744
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According to our database, Amy Lynn Wing PA NPI is 1083795504, taxonomy code is 363A00000X and license number is 5601003744, license state is located at Michigan. Amy Lynn Wing PA physically located at 100 Michigan Nw, Grand Rapids MI, 49503. NPI Number Amy Lynn Wing PA has the Individual type.

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1083795504 NPI number is provided on an as is basis without warranty of any kind. 1083795504 is maintained by the National Plan & Provider Enumeration System. The contents of Amy Lynn Wing PA are for informational purposes only.