Individual
LEONHARD J MAENDEL
Active
Individual
LEONHARD J MAENDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601002674
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M32390011
MEDICARE PTAN
MI
Enumeration date
12/11/2006
Last updated
02/14/2025
Update your record
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