Individual
RYAN LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
3500 15 MILE RD, STERLING HEIGHTS, MI 48310-5353
(586) 977-9300
Mailing address
1306 OWANA AVE, ROYAL OAK, MI 48067-5007
(586) 243-3485
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704292968
MI
Other
Enumeration date
09/15/2016
Last updated
09/15/2016
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