Organization
LESLEE A . EMERSON DO,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLEE A EMERSON D.O (PRESIDENT)
(248) 888-0088
Entity
Organization
Contact information
Practice address
19811 FARMINGTON RD, LIVONIA, MI 48152-1444
(248) 888-0088
(248) 888-0060
Mailing address
19811 FARMINGTON RD, LIVONIA, MI 48152-1444
(248) 888-0088
(248) 888-0060
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
5101010751
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2658212294
BLUE CROSS/BLUE SHIELD
MI
Enumeration date
07/30/2007
Last updated
07/30/2007
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