Individual provider · Type 1 NPI

Leahthan Faye Domeshek, MD

Surgery of the Hand (Plastic Surgery) Physician · Grand Rapids, MI

NPI number 1659683225 Active

Practice location

35 Michigan St NE Ste 5201
Grand Rapids, MI 49503-2530

Mailing address

100 Michigan St NE # MC845
Grand Rapids, MI 49503-2560

Specialties and licenses

TaxonomyCodeLicense
Plastic and Reconstructive Surgery Physician 2086S0122XDR.0060955 (CO)
Plastic Surgery Physician 208200000X4301507922 (MI)
Surgery of the Hand (Plastic Surgery) Physician Primary 2082S0105X4301507922 (MI)

Surgery of the Hand (Plastic Surgery) Physician: A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

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About NPI 1659683225

Leahthan Faye Domeshek, MD's National Provider Identifier is 1659683225, issued on Jul 11, 2010. The primary taxonomy on file is Surgery of the Hand (Plastic Surgery) Physician (2082S0105X), and the practice location is in Grand Rapids, MI. The record was last updated on Nov 23, 2022.