Individual provider · Type 1 NPI
Leahthan Faye Domeshek, MD
Surgery of the Hand (Plastic Surgery) Physician · Grand Rapids, MI
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
| Taxonomy | Code | License |
|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | DR.0060955 (CO) |
| Plastic Surgery Physician | 208200000X | 4301507922 (MI) |
| Surgery of the Hand (Plastic Surgery) Physician Primary | 2082S0105X | 4301507922 (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.