Most Relevant Information
Provider Data
NPI Number: | 1003532904 |
Provider Name: | LEAH MARIE GAETH |
Entity Type: | Individual |
Taxonomy Code: | 363LF0000X |
Specialty: | Nurse Practitioner |
License Number: | 4704306965 |
Most Important Dates
Enumeration Date: | 10/13/2022 |
Last Updated: | 10/13/2022 |
Provider Practice Location
2175 N FORDNEY RD
HEMLOCK
MI
486269458
Practice Location Phone/Fax
Phone: | 9895732279 |
Fax: |
Provider Mailing Location
2175 N FORDNEY RD
HEMLOCK
MI
486269458
Provider Mailing Phone/Fax
Phone: | 9895732279 |
Fax: |