Individual
LESLIE M KOBLENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2351 E 22ND ST, PSYCHIATRY DEPT, CLEVELAND, OH 44115-3111
(216) 363-2538
(216) 694-4604
Mailing address
METROHEALTH SYSTEM, 4229 PEARL RD ATTN:PFS-LGREENHILL, CLEVELAND, OH 44109-1998
(216) 957-2442
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35081900
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2490291
—
OH
Enumeration date
12/09/2005
Last updated
12/15/2016
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