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Dr. Michele Leslie Bautista, MD
Obstetrics & Gynecology Physician in Grand Rapids, Michigan
NPI 1689298333

Michele Leslie Bautista is a Obstetrics & Gynecology Physician based in Grand Rapids, MI. Michele Leslie Bautista practices in Grand Rapids, MI and has the professional credentials of MD. The NPI Number for Michele Leslie Bautista is 1689298333 and holds a License No. (Michigan).

The current practice location address for Michele Leslie Bautista is 330 Barclay Ave Ne Ste 304, Grand Rapids, MI and can be reached out via phone at 616-391-2160.

Location: 330 Barclay Ave Ne Ste 304, Grand Rapids, MI, 49503-2527
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689298333
Provider Name
Michele Leslie Bautista
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
330 Barclay Ave Ne Ste 304, Grand Rapids, MI, 49503-2527
Phone Number
616-391-2160
Fax Number
Provider Enumeration Date
05/28/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
330 Barclay Ave Ne Ste 304
City
Grand Rapids
State
Michigan
Zip
49503-2527
Phone Number
616-391-2160
Fax Number
person
Provider Business Mailing Address Details
Address
330 Barclay Ave Ne Ste 304
City
Grand Rapids
State
Michigan
Zip
49503-2527
Phone Number
616-391-2160
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
4351047253 (Michigan)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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