Individual
DR. LEON D INGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3700 OWEN RD, FENTON, MI 48430-9193
(810) 750-7345
(810) 750-7364
Mailing address
1941 STATE PARK RD, ORTONVILLE, MI 48462-9416
(810) 715-1650
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004060
MI
Other
Enumeration date
03/06/2007
Last updated
02/28/2017
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