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Individual

FREDRIC SCOTT LEEMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CPSS

Contact information

Practice address
555 TOWNER ST, YPSILANTI, MI 48198-5723
(734) 740-8536
Mailing address
555 TOWNER ST, YPSILANTI, MI 48198-5723
(734) 544-3050

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
175T00000X
MI
175T00000X
Peer Specialist
Primary
MI

Other

Enumeration date
10/18/2022
Last updated
10/18/2022
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