Individual
DEAN J LEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1120 COCOA AVE, HERSHEY, PA 17033-1712
(717) 533-4141
(717) 533-9797
Mailing address
1120 COCOA AVE, HERSHEY, PA 17033-1712
(717) 533-4141
(717) 533-9797
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD015779E
PA
Other
Enumeration date
02/21/2006
Last updated
12/18/2009
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