Individual
HAYLEY M LEICHTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
4050 W MAPLE RD STE 101, BLOOMFIELD HILLS, MI 48301-3118
(248) 885-8211
Mailing address
2788 TALLAHASSEE DR, ROCHESTER HILLS, MI 48306-3860
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704266588
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704266588
DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS (LARA)
MI
Enumeration date
06/11/2017
Last updated
06/11/2017
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