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Contact Information

LEAH D PREDUM, PA-C
2700 EAST CENTRE AVE
PORTAGE, MI49002
 Phone: 269-286-7050
 Fax: 269-286-7051
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for LEAH D PREDUM · (Female)

NPI # 1417263336
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 08/30/2010
Last updated 11/27/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 5601005839
Hospital affiliation(s)
  • BRONSON METHODIST HOSPITAL - (Acute Care)
    601 JOHN STREET 42
    KALAMAZOO, MI 49007
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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