Individual
FRED R LEESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
140 COLEMANS XING, MARYSVILLE, OH 43040-7080
(937) 578-4300
(937) 578-4311
Mailing address
140 COLEMANS XING, MARYSVILLE, OH 43040-7080
(937) 578-4300
(937) 578-4311
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
35083442L
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2450771
—
OH
Enumeration date
11/29/2005
Last updated
06/25/2019
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