LEIGH ELLEN VANTIMMEREN

GRAND RAPIDS, MI
NPI1346603933
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601010247)
Enumeration Date2016-03-31
Last Update Date2021-12-29
Business Address
Miss LEIGH ELLEN VANTIMMEREN PA
4069 LAKE DR SE STE 312
GRAND RAPIDS, MI 49546-8816
Phone number: 616-267-8700
Mailing Address
Miss LEIGH ELLEN VANTIMMEREN PA
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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