Organization
L. DIZON, M.D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEONIDES ARES DIZON M.D. (PRESIDENT)
(248) 626-1602
Entity
Organization
Contact information
Practice address
20307 W 12 MILE RD, SUITE 102, SOUTHFIELD, MI 48076-5407
(248) 354-3131
(248) 354-3131
Mailing address
20307 W 12 MILE RD, SUITE 102, SOUTHFIELD, MI 48076-5407
(248) 354-3131
(248) 354-3131
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
4301034833
MI
Other
Enumeration date
05/11/2012
Last updated
05/11/2012
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