Individual
LESLIE MAITNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
277 NORTH ST, ALLEGAN, MI 49010-1138
(269) 673-5092
Mailing address
277 NORTH ST, ALLEGAN, MI 49010-1138
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
1113065
MI
Other
Enumeration date
04/06/2010
Last updated
04/06/2010
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