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Individual

LEAH VANENK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
8501 MEADOW CRK, ROCKFORD, MI 49341-7524
(616) 863-3150
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101022909
MI

Other

Enumeration date
05/27/2014
Last updated
02/17/2021
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