Individual
JOHN L LEHTINEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1414 W FAIR AVE, STE 35, MARQUETTE, MI 49855-2675
(906) 225-4555
(906) 225-4554
Mailing address
1414 W FAIR AVE STE 242, MARQUETTE, MI 49855-5406
(906) 449-4900
(906) 449-2945
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301035115
MI
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
4301035115
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1585761
—
MI
Enumeration date
08/15/2005
Last updated
04/27/2021
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