STEPHANIE LYNN LEACH

GRAND RAPIDS, MI
NPI1316229040
Former NameSTEPHANIE LYNN KRAUSE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601006171)
Enumeration Date2011-09-20
Last Update Date2024-08-26
Business Address
STEPHANIE LYNN LEACH PA-C
426 MICHIGAN ST NE
GRAND RAPIDS, MI 49503-5609
Phone number: 616-267-8338
Mailing Address
STEPHANIE LYNN LEACH PA-C
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number: