Individual
MR. JOHN G LEPISTO JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5251 CLYDE PARK AVE SW, WYOMING, MI 49509-9522
(616) 532-1100
(616) 249-2246
Mailing address
5251 CLYDE PARK AVE SW, WYOMING, MI 49509-9522
(616) 532-1100
(616) 249-2246
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601001818
MI
Other
Enumeration date
07/26/2005
Last updated
07/08/2007
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