Search › Michigan › 152W00000X

Leon Bangma, OD

NPI 1164484705 · on the registry since 2006

Practice

Address
2897 Radcliff Ave Se
Kentwood, MI 49512
Phone
(616) 942-2710
Fax
(616) 942-8680

Registry record

Primary taxonomy
152W00000X
152W00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-10-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan