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Organization

NICHOLAS LEONE, M.D., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NICHOLAS LEONE M.D. (PRESIDENT)
(586) 286-6550
Entity
Organization

Contact information

Practice address
39400 GARFIELD RD, SUITE 103, CLINTON TWP, MI 48038-4096
(586) 286-6550
(586) 286-1843
Mailing address
39400 GARFIELD RD, SUITE 103, CLINTON TWP, MI 48038-4096
(586) 286-6550
(586) 286-1843

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301057966
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OEO1563
BCBS GROUP
MI
Enumeration date
03/08/2007
Last updated
08/22/2020
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