Individual
LESLIE S CLEMENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5901 MONCLOVA RD, MAUMEE, OH 43537-1841
(419) 973-6365
Mailing address
7227 CLOISTER RD, TOLEDO, OH 43617-2213
(419) 973-6365
(567) 249-0045
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.143513
OH
390200000X
Student in an Organized Health Care Education/Training Program
57.247856
OH
Other
Enumeration date
04/05/2019
Last updated
10/31/2022
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