Individual
DR. LESLIE STANISLAUS ANEWENAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1730 E LAKE SHORE DR, DECATUR, IL 62521-3809
(217) 329-1000
Mailing address
84-2 FERNE BLVD, DREXEL HILL, PA 19026-5510
(302) 983-5330
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036149330
IL
208600000X
Surgery Physician
78387
MN
208600000X
Surgery Physician
79450
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/04/2012
Last updated
12/03/2024
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