Individual
DR. COURTNEY S LESLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
5900 BYRON CENTER AVE SW, WYOMING, MI 49519-9606
(616) 889-9759
Mailing address
4600 100TH ST SE, CALEDONIA, MI 49316-9416
(616) 889-9759
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302033480
MI
Other
Enumeration date
09/23/2013
Last updated
10/16/2014
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