Micah James Leestma, D.O.
Family Medicine in Demotte, IN. Individual provider (NPI-1).
NPI number1013201623
StatusActive
Last updated in NPPESApr 23, 2025
Details
- NPI
- 1013201623
- Entity type
- Individual (NPI-1)
- Name
- Mr. Micah James Leestma
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 1, 2011
- Certification date
- Apr 23, 2025
- Last updated
- Apr 23, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 02004123A | IN | Yes |
Practice location
519 N Halleck StDemotte, IN 46310-9553
Phone 219-987-7750 · Fax 219-987-5750
Mailing address
519 N Halleck StDemotte, IN 46310-9553
Phone 219-987-7750 · Fax 219-987-5750
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Other Family Medicine Physician providers in Demotte, IN
- Alicia Coppage, MSN, FNP-CNPI 1912866989
- Demotte Physicians INC.NPI 1396780573
- Jeffrey Glen Huxford, M.D.NPI 1528003852
- Eric J LeestmaNPI 1700989233
- Leestma Medical Clinic, INCNPI 1487986451
- Cecilia Jean Sampsel, N.P.NPI 1437187085
All 7 Family Medicine Physician providers in Demotte · All 128 providers in Demotte
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