Individual
ROBERT A LEITELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1 N ATKINSON DR, LUDINGTON, MI 49431-1906
(231) 845-2348
Mailing address
1701 LAKE LANSING RD, SUITE 100, LANSING, MI 48912-3798
(517) 485-0001
(517) 485-1138
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RL075659
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4319992
—
MI
Enumeration date
01/12/2007
Last updated
08/22/2007
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