Individual
LEIGH KELLY SHOEMAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., PA-C
Contact information
Practice address
2060 DIVISION AVE S, GRAND RAPIDS, MI 49507-3029
(616) 475-8446
(616) 475-1272
Mailing address
2060 DIVISION AVE S, GRAND RAPIDS, MI 49507-3029
(616) 475-8446
(616) 475-1272
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601005758
MI
Other
Enumeration date
06/30/2010
Last updated
05/05/2025
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