Individual
JOHN LEROY IEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4069 LAKE DR SE, GRAND RAPIDS, MI 49546-8816
(616) 267-7469
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
(616) 486-6790
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
MI
Other
Enumeration date
07/01/2011
Last updated
10/26/2021
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