Individual
LEO R MURSKYJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1950 E WATTLES RD STE 101, TROY, MI 48085-5099
(248) 740-8000
(248) 740-1355
Mailing address
1950 E WATTLES STREET, SUITE 101, TROY, MI 48085
(248) 740-8000
(248) 740-1355
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301050124
MI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
4301050124
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E00425
BLUE CROSS BLUE SHIELD OF MI
MI
01
—
1105005681
BCBSMI PERSONAL PIN
MI
01
—
110E011830
SCHOENHERR BCBS GR PIN
MI
01
—
200158731
WARREN TAX ID
MI
01
—
381898230
SCHOENHERR TAX ID
MI
05
—
4218953
—
MI
05
—
4749035
—
MI
01
—
700E001650
WARREN BCBS GR PIN
MI
Enumeration date
09/25/2006
Last updated
07/21/2022
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