Individual
DR. JOEL K LEIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3560 PONTIAC LAKE RD, WATERFORD, MI 48328-2337
(248) 674-2259
(248) 674-3356
Mailing address
3560 PONTIAC LAKE RD, WATERFORD, MI 48328-2337
(248) 674-2259
(248) 674-3356
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
JL005644
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1121181
—
MI
Enumeration date
04/09/2006
Last updated
05/14/2010
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