Individual
LEISA REUSSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4040 24TH AVE, FORT GRATIOT, MI 48059-3800
(810) 987-9337
Mailing address
4040 24TH AVE, FORT GRATIOT, MI 48059-3800
(810) 987-9337
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/23/2024
Last updated
04/23/2024
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