Individual
LARRY LEITCH-CASEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22201 MOROSS ROAD, SUITE 50, DETROIT, MI 48236
(313) 343-7774
(313) 343-8747
Mailing address
22201 MOROSS ROAD, SUITE 50, DETROIT, MI 48236
(313) 343-7774
(313) 343-8747
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/17/2024
Last updated
10/08/2024
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