Individual
LEONARDO T QUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
611 FULTON ST, SUITE E, PORT CLINTON, OH 43452-2008
(419) 734-4539
(419) 734-6365
Mailing address
611 FULTON ST, SUITE E, PORT CLINTON, OH 43452
(419) 734-4539
(419) 734-6365
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35-05-0504
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0584309
—
OH
Enumeration date
06/16/2005
Last updated
10/06/2020
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