Individual
MR. ADAM LEESTMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
519 N HALLECK ST, DEMOTTE, IN 46310-9553
(219) 987-7750
(219) 987-5750
Mailing address
519 N HALLECK ST, DEMOTTE, IN 46310-9553
(219) 987-7750
(219) 987-5750
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28199079A
IN
Other
Enumeration date
12/22/2016
Last updated
12/22/2016
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