Individual
LEAH WIGENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
211 W PINE LAKE DR, NEWAYGO, MI 49337-8029
(231) 652-1631
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
4704383523
MI
Other
Enumeration date
01/06/2023
Last updated
11/10/2025
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