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: |