Individual
GRETCHEN LEFFLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
5629 STADIUM DRIVE, SUITE D, KALAMAZOO, MI 49009-1952
(269) 372-5701
(269) 372-5702
Mailing address
5629 STADIUM DR, SUITE D, KALAMAZOO, MI 49009-1952
(269) 372-5701
(269) 372-5702
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601004107
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255457677
—
MI
01
—
700C910950
BCBSM
MI
Enumeration date
03/21/2007
Last updated
11/27/2023
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