Individual
DR. MICHELLE ELIZABETH LEONARD DEITHLOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
404 BRUNN SCHOOL RD, SANTA FE, NM 87505-1102
(505) 395-9575
(877) 540-1253
Mailing address
PO BOX 540610, N SALT LAKE, UT 84054-0610
(801) 505-0821
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD401
NM
Other
Enumeration date
08/06/2014
Last updated
01/28/2025
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