Individual
LESLIE BLAIR WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
6071 W OUTER DR, DETROIT, MI 48235-2624
(313) 966-3300
Mailing address
1824 COLONIAL VILLAGE WAY APT 1, WATERFORD, MI 48328-1934
(248) 790-6878
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
5101019843
MI
207L00000X
Anesthesiology Physician
Primary
H90423
MD
Other
Enumeration date
07/02/2012
Last updated
01/09/2023
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