| Doctor Name: | MRS. LEAH WISER |
| NPI Number: | 1003994096 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA |
| License Number: | 5601002257 |
| Business Practice Address: | 1903 W Michigan Ave Sindecuse Health Center, Western Michigan University Kalamazoo, MI - 490085200 |
| Business Phone Number: | 2693873287 |
| Business Fax Number: | 2693872944 |
| Mailing Address: | 1903 W Michigan Ave, KALAMAZOO |
| State: | MI |
| Postal Code: | 490085200 |
| Phone Number: | 2693873290 |
| Fax Number: | 2693872944 |
| NPI Enumeration Date: | 11/01/2006 |
| NPI Last Update Date: | 12/09/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 5601002257 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |