NPI 1205454998

Andrea Mantel

Practitioner Anesthesiologist Assistant Grand Rapids, MI

Practice location

Address: 3333 Evergreen Dr NE, Grand Rapids, MI 49525-9493
Phone: (616) 284-3132
Mailing address: 603 Parkwood St NE, Grand Rapids, MI 49503-3413

Registered specialties

Anesthesiologist Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X

Other Anesthesiologist Assistant providers in Michigan →

Registry record

NPI: 1205454998
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Jul 2020
Record last updated: 8 Jul 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.