Individual
DR. LESLEE A EMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
38807 ANN ARBOR RD STE 7, LIVONIA, MI 48150
(734) 953-6734
Mailing address
38807 ANN ARBOR RD STE 7, LIVONIA, MI 48150-3896
(734) 953-6734
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
5101010751
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2658212294
BLUE CROSS BLUE SHIELD
MI
01
—
P00193904
MEDICARE RAILROAD
MI
Enumeration date
04/26/2006
Last updated
11/18/2024
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