Amy Benedict, PA-C
Physician Assistant in Wyoming, MI. Individual provider (NPI-1).
NPI number1760660633
StatusActive
Last updated in NPPESMar 21, 2025
Details
- NPI
- 1760660633
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Amy Benedict
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 4, 2008
- Certification date
- Mar 21, 2025
- Last updated
- Mar 21, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 5601002370 | MI | Yes |
Practice location
4124 56th St Sw Ste 2Wyoming, MI 49418-9494
Phone 616-224-0120
Mailing address
4124 56th St Sw Ste 2Wyoming, MI 49418-9494
Phone 616-224-0120
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