Individual
KATHRYN LEGGIERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
44555 WOODWARD AVE, SUITE 305, PONTIAC, MI 48341
(248) 858-3812
(248) 858-3815
Mailing address
24 FRANK LLOYD WRIGHT DRIVE, SUITE J2000, ANN ARBOR, MI 48105
(734) 747-6766
(734) 222-3100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10003345A
IN
363A00000X
Physician Assistant
Primary
5601011582
MI
363AS0400X
Surgical Physician Assistant
5601011582
MI
Other
Enumeration date
08/20/2021
Last updated
05/21/2026
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