Organization
JAMES W LEETE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES W LEETE MD (OWNER)
(231) 947-4704
Entity
Organization
Contact information
Practice address
1139 E 8TH ST, TRAVERSE CITY, MI 49686-2936
(231) 947-4704
(231) 929-2824
Mailing address
1139 E 8TH ST, TRAVERSE CITY, MI 49686-2936
(231) 947-4704
(231) 929-2824
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301041116
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0802866381
PHYSICIANS BC NUMBER
MI
05
—
2963090
—
MI
Enumeration date
07/30/2006
Last updated
09/08/2010
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