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Individual

LESLIE D. KLABBATZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4065 CENTER RD, BRUNSWICK, OH 44212-2918
(440) 816-5585
Mailing address
8010 BROOK CIR, MACEDONIA, OH 44056-2359
(330) 468-5433

Taxonomy

Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
35069253K
OH
207P00000X
Emergency Medicine Physician
Primary
35.069253
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2195002
OH
01
942460636157
CARESOURCE
OH
01
P00283191
MEDICARE TRAVELERS RR-GA
OH
Enumeration date
05/26/2006
Last updated
10/29/2025
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