Individual
LEE ANN WEITEKAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1036 FULLER AVE NE, GRAND RAPIDS, MI 49503-1304
(616) 233-8574
Mailing address
1036 FULLER AVE NE, GRAND RAPIDS, MI 49503-1304
(616) 233-8574
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
Primary
4301064996
MI
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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