Individual
MICHAEL A LEATHERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12070 OLD LINE CTR, SUITE 302, WALDORF, MD 20602-2513
(301) 645-6667
(301) 870-9722
Mailing address
PO BOX 249, WALDORF, MD 20604-0249
(301) 645-6667
(301) 870-9722
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0021031
MD
Other
Enumeration date
08/17/2005
Last updated
04/10/2008
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