Individual
DR. NICHOLAS LEONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
39400 GARFIELD RD, SUITE 103, CLINTON TOWNSHIP, MI 48038-4096
(586) 286-6550
(586) 286-1843
Mailing address
39400 GARFIELD RD, SUITE 103, CLINTON TOWNSHIP, MI 48038-4096
(586) 286-6550
(586) 286-1843
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301057966
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1805018242
BCBS PIN
MI
01
—
OEO1563
BLUE CROSS GROUP ID
MI
Enumeration date
10/18/2006
Last updated
07/08/2007
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