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Individual

MR. PAUL A LEEP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
404 W SHARON AVE, HOUGHTON, MI 49931-1980
(906) 482-5230
(906) 482-5343
Mailing address
404 W SHARON AVE, HOUGHTON, MI 49931-1980
(906) 482-5230
(906) 482-5343

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
041617
MI
207W00000X
Ophthalmology Physician
Primary
4301041617
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1803100112
BCBS OF MICHIGAN
05
2114388
MI
Enumeration date
01/27/2006
Last updated
09/02/2014
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