ERIC J LEESTMA

DEMOTTE, IN
NPI1700989233
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  02000641A)
Enumeration Date2006-09-07
Last Update Date2010-05-10
Business Address
-- ERIC J LEESTMA
519 N HALLECK
DEMOTTE, IN 46310
Phone number: 219-987-7750
Mailing Address
-- ERIC J LEESTMA
PO BOX 850
DEMOTTE, IN 46310-0850
Phone number: 219-987-7750
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