# GEORGE J LEACH D O P C

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598028334
- **Authorized official:** DR. GEORGE JAY LEACH D.O. (ENDOCRINOLOGY)
- **Authorized official phone:** (248) 476-1210

## Contact information

- **Practice address:** 20270 MIDDLEBELT RD, SUITE 10, LIVONIA, MI 48152-2000
- **Practice address phone:** (248) 476-1210
- **Practice address fax:** (248) 476-9280
- **Mailing address:** 20270 MIDDLEBELT RD, SUITE 10, LIVONIA, MI 48152-2000
- **Mailing address phone:** (248) 476-1210
- **Mailing address fax:** (248) 476-9280

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | GL006363 | MI | Yes |

## Other

- **Enumeration date:** 06/18/2012
- **Last updated:** 06/18/2012