Individual
STEFANIE SHANNON-SENNETT LEITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
401 HOWARD ST, KALAMAZOO, MI 49001-2748
(269) 344-4458
Mailing address
6804 HICKORY POINT DR E, PORTAGE, MI 49024-3348
(734) 353-0258
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704264242
MI
Other
Enumeration date
07/09/2021
Last updated
07/09/2021
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