Individual
ERIN REBECCA LEBOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2215 FULLER RD, ANN ARBOR, MI 48105-2303
(734) 769-7100
Mailing address
2215 FULLER RD, ANN ARBOR, MI 48105-2303
(734) 769-7100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301510111
MI
390200000X
Student in an Organized Health Care Education/Training Program
4351045912
MI
Other
Enumeration date
07/01/2020
Last updated
07/14/2023
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