Organization
GEORGE J LEACH D O P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE JAY LEACH D.O. (ENDOCRINOLOGY)
(248) 476-1210
Entity
Organization
Contact information
Practice address
20270 MIDDLEBELT RD, SUITE 10, LIVONIA, MI 48152-2000
(248) 476-1210
(248) 476-9280
Mailing address
20270 MIDDLEBELT RD, SUITE 10, LIVONIA, MI 48152-2000
(248) 476-1210
(248) 476-9280
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
GL006363
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4297465
—
MI
Enumeration date
06/18/2012
Last updated
06/18/2012
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