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Organization
LESLIE MEDICAL CENTER P C
Active
Organization
LESLIE MEDICAL CENTER P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMUR ANUM BARUTI MD (PHYSICIAN)
(517) 589-8252
Entity
Organization
Contact information
Practice address
207 E BELLEVUE ST, LESLIE, MI 49251-9373
(517) 589-8252
(517) 589-5189
Mailing address
207 E BELLEVUE ST, LESLIE, MI 49251-9373
(517) 589-8252
(517) 589-5189
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
4301052165
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4741000
—
MI
Enumeration date
04/11/2007
Last updated
03/22/2010
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