Individual
DR. MICHAEL GREGORY LEADBETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4850 RED BANK RD, 1 PLASTIC SURGERY PLAZA, CINCINNATI, OH 45227-1545
(513) 791-4440
(513) 985-6615
Mailing address
4850 RED BANK RD, 1 PLASTIC SURGERY PLAZA, CINCINNATI, OH 45227-1545
(513) 791-4440
(513) 985-6615
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
30840
KY
208200000X
Plastic Surgery Physician
Primary
35040615
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
240004082
MEDICARE RAILROAD
—
05
—
64762180
—
KY
05
—
O340554
—
OH
Enumeration date
06/14/2006
Last updated
11/01/2011
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