Individual
DR. ROBERT JAY LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19229 MACK AVE, SUITE 24, GROSSE POINTE WOODS, MI 48236
(313) 884-5522
(313) 884-6054
Mailing address
19229 MACK AVE., SUITE 24, GROSSE POINTE WOODS, MI 48236
(313) 884-5522
(313) 884-6054
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
RL050783
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0824617
BCN
MI
05
—
1981281
—
MI
05
—
3327855
—
MI
Enumeration date
07/28/2006
Last updated
04/22/2014
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