Individual
DR. MICHAEL W LEATHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2801 K ST, SUITE 330, SACRAMENTO, CA 95816-5120
(916) 733-5049
Mailing address
2801 K ST STE 330, SACRAMENTO, CA 95816-5119
(916) 733-5030
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G36832
CA
207XS0106X
Orthopaedic Hand Surgery Physician
G36832
CA
2086S0105X
Surgery of the Hand (Surgery) Physician
G36832
CA
Other
Enumeration date
10/31/2005
Last updated
06/16/2009
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