Individual
JARRETT MARVIN LEUNK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
200 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503-4502
(616) 685-5000
Mailing address
615 PARIS AVE SE, GRAND RAPIDS, MI 49503-5405
(616) 826-5866
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704274232
MI
Other
Enumeration date
12/19/2018
Last updated
12/19/2018
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