Individual
DR. JEFFREY S LEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24001 ORCHARD LAKE RD, SUITE 170, FARMINGTON, MI 48336-2555
(248) 615-4368
(248) 615-4342
Mailing address
24001 ORCHARD LAKE RD, SUITE 170, FARMINGTON, MI 48336-2555
(248) 615-4368
(248) 615-4342
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
4301053044
MI
Other
Enumeration date
10/20/2005
Last updated
07/08/2007
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