LESLIE A BOONSTRA

GRAND RAPIDS, MI
NPI1770618522
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601004592)
Enumeration Date2007-02-22
Last Update Date2012-12-26
Business Address
-- LESLIE A BOONSTRA PA-C
550 CHERRY ST SE
GRAND RAPIDS, MI 49503-4748
Phone number: 616-235-7272
Mailing Address
-- LESLIE A BOONSTRA PA-C
100 CHERRY ST SE
GRAND RAPIDS, MI 49503-4526
Phone number: 616-965-8200
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