Individual
LEIGHE GROTENHUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11511 NE 10TH ST # 305, BELLEVUE, WA 98004-8578
(254) 502-3896
Mailing address
11511 NE 10TH ST # 305, BELLEVUE, WA 98004-8578
(254) 502-3896
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ML60563101
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ML60563101
MEDICAL LICENSE NUMBER
—
Enumeration date
05/11/2015
Last updated
04/07/2021
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