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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MICAH JAMES LEESTMA, D.O.

Active

MR. MICAH JAMES LEESTMA, D.O. is a Family Medicine healthcare provider located in DEMOTTE, Indiana. NPI 1013201623 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · DEMOTTE, IN

Registration Details

NPI Number
1013201623
Provider Type
Individual
Gender
Male
NPI Issued
Jun 1, 2011 (15.161263834469 yrs)
Last Updated
Apr 23, 2025
License
02004123A (IN)

Practice Information

Address
519 N HALLECK ST
DEMOTTE, IN, 463109553
Browse IN providers · Browse ZIP 46310
Phone
2199877750
Fax
2199875750
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in DEMOTTE, IN

Name Credential NPI
MR. JEFFREY GLEN HUXFORD M.D. 1528003852
MRS. CECILIA JEAN SAMPSEL N.P. 1437187085
ERIC J LEESTMA 1700989233
ALICIA COPPAGE MSN, FNP-C 1912866989
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.