Individual
LESLIE GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4123 MARTIN RD, SUITE 201, COMMERCE TOWNSHIP, MI 48390-4151
(248) 877-5757
Mailing address
793 PROMONTORY DR, MILFORD, MI 48381-1656
(248) 877-5757
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
515880-06
MI
Other
Enumeration date
08/09/2012
Last updated
08/09/2012
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