Individual
MS. SUSAN MARIE LEEGSTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
720 GENERAL MOTORS RD, MILFORD, MI 48381-2220
(866) 389-2727
(401) 652-9787
Mailing address
33310 KLEIN, FRASER, MI 48026-1953
(586) 484-0845
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704156875
MI
Other
Enumeration date
01/13/2011
Last updated
01/13/2011
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