Leesa Durussel
NPI #1588057616 in Saint Charles, Michigan
Provider Information
- NPI Number
- 1588057616
- Entity Type
- Individual
- Name
- Leesa Durussel
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Enumeration Date
- Mar 13, 2015
- Last Updated
- Mar 13, 2015
Practice Location
- Address
- 7710 S MERRILL RD
- City
- Saint Charles
- State
- Michigan
- ZIP Code
- 48655-9774
- Phone
- (989) 643-5066
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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