Individual
DR. JEFFREY M LEISRING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4481 SUGAR MAPLE DRIVE, WPAFB, OH 45433
(937) 257-9700
(937) 904-3521
Mailing address
4481 SUGAR MAPLE DRIVE, WPAFB, OH 45433
(937) 257-9700
(937) 904-3521
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.052686
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0599866
—
OH
Enumeration date
06/06/2006
Last updated
10/15/2015
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