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

LESLIE A BOONSTRA, PA-C

Active

LESLIE A BOONSTRA, PA-C is a Physician Assistant healthcare provider located in GRAND RAPIDS, Michigan. NPI 1770618522 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · GRAND RAPIDS, MI

Registration Details

NPI Number
1770618522
Provider Type
Individual
Gender
Female
NPI Issued
Feb 22, 2007 (19.457886609575 yrs)
Last Updated
Dec 26, 2012
License
5601004592 (MI)

Practice Information

Address
550 CHERRY ST SE
GRAND RAPIDS, MI, 495034748
Browse MI providers · Browse ZIP 49503
Phone
6162357272
Fax
6167762122
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in GRAND RAPIDS, MI

Name Credential NPI
MRS. JACQUELINE S JOHANSON P.A.-C 1952304982
RENEE K SALYER P.A-C 1760481386
MR. JOHN C HENDRICKS PA-C 1992705610
CHERYL ANN SCHMITT PA-C 1851391031
LARA ELIZABETH EVANS PA-C 1356343933
BENJAMIN P LOYD PA-C 1174515167
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.