MICAH JAMES LEESTMA

DEMOTTE, IN
NPI1013201623
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  02004123A)
Enumeration Date2011-06-01
Last Update Date2025-04-23
Business Address
Mr. MICAH JAMES LEESTMA D.O.
519 N HALLECK ST
DEMOTTE, IN 46310-9553
Phone number: 219-987-7750
Mailing Address
Mr. MICAH JAMES LEESTMA D.O.
519 N HALLECK ST
DEMOTTE, IN 46310-9553
Phone number: 219-987-7750
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