Individual
ANDREW JAMES LEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4000 WELLNESS DR, MIDLAND, MI 48670-2000
(989) 839-3000
Mailing address
4945 GRANDVIEW CIR, MIDLAND, MI 48640-2879
(989) 600-0330
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704318826
MI
Other
Enumeration date
08/12/2019
Last updated
08/12/2019
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