Leah Koetje, M.D. is a student in an organized health care education training program in Grand Rapids, MI with 10 years of experience. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Leah Koetje, M.D. NPI is 1871908921. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
Education
Medical School: MEDICAL COLLEGE OF WISCONSIN
Graduation Year:2014
The provider's business location address is:
3333 EVERGREEN DR NE
GRAND RAPIDS, MI
ZIP 49525-493
Phone: (616) 364-4200
The NPI 1871908921 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 6/27/2014 and was last updated on 7/8/2019.