Individual
KEVIN LEIKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2799 W GRAND BLVD, 2799 W. GRAND BOULEVARD, DETROIT, MI 48202-2608
(313) 916-2889
Mailing address
2799 W GRAND BLVD, HENRY FORD HOSPITAL, MEDICAL EDUCATION DEPARTMENT, DETROIT, MI 48202-2608
(313) 916-2889
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
5101026128
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2017
Last updated
05/12/2021
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