Individual
CONSTANCE LEAHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
309 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503-4503
(616) 685-8750
(616) 685-8002
Mailing address
245 STATE ST SE, GRAND RAPIDS, MI 49503-4328
(616) 685-1808
(616) 685-1850
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301061615
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3371147
—
MI
05
—
4110726
—
MI
05
—
4893290
—
MI
Enumeration date
05/24/2006
Last updated
06/29/2009
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