Individual
DR. LEAH SARA VANDENBUSSCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
24911 LITTLE MACK AVE STE C, SAINT CLAIR SHORES, MI 48080-3200
(586) 777-2050
(586) 777-2189
Mailing address
24911 LITTLE MACK AVE STE C, SAINT CLAIR SHORES, MI 48080-3200
(586) 777-2050
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301505918
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/02/2018
Last updated
03/10/2022
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