Individual
MRS. CAROLYN DIANNE LEADHOLM-WITTKE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
4450 FASHION SQUARE BLVD, SAGINAW, MI 48603-1251
(989) 792-4090
(989) 792-4094
Mailing address
4450 FASHION SQUARE BLVD, SAGINAW, MI 48603-1251
(989) 792-4090
(989) 792-4094
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704189159
MI
Other
Enumeration date
07/13/2005
Last updated
07/08/2007
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