Individual
DR. JONATHAN F LEAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 W STRUB RD, SUITE 210, SANDUSKY, OH 44870-5390
(419) 625-2841
(419) 625-1299
Mailing address
PO BOX 378, SANDUSKY, OH 44871-0378
(419) 609-1112
(419) 609-1123
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
35061662
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0837723
—
OH
Enumeration date
06/23/2006
Last updated
04/22/2013
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