Individual
MR. PHILLIP GREGORY LEAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
325 E H ST, IRON MOUNTAIN, MI 49801-4760
(906) 774-3300
(906) 779-3180
Mailing address
325 E H ST, IRON MOUNTAIN, MI 49801-4760
(906) 774-3300
(906) 779-3180
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704206304
MI
Other
Enumeration date
06/20/2006
Last updated
07/11/2007
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