Individual
MISS LESLIE A CAREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4400 HIGHLAND RD, WATERFORD, MI 48328-1222
(248) 618-6000
(248) 618-6951
Mailing address
24 FRANK LLOYD WRIGHT DR LBBY J2000, ANN ARBOR, MI 48105-9484
(734) 747-6766
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301065770
MI
208000000X
Pediatrics Physician
4301065770
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649288960
COMMERCIAL
MI
05
—
4108138
—
MI
01
—
700F37550
BCBSM
—
Enumeration date
08/03/2006
Last updated
11/16/2021
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