Individual
MRS. LEEAH R SLOAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322-3013
(248) 325-0432
Mailing address
6777 W MAPLE RD, PHYSICIAN VILLAGE, WEST BLOOMFIELD, MI 48322-3013
(248) 325-1000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601006395
MI
363A00000X
Physician Assistant
PAL-2317
CO
363AM0700X
Medical Physician Assistant
5601006395
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31875335
—
CO
01
—
P00671628
RR MEDICARE
CO
Enumeration date
06/24/2006
Last updated
12/04/2023
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