Individual
DR. ANTONIO R DELEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1221 S ORTONVILLE RD, ORTONVILLE, MI 48462-8676
(248) 627-4978
(248) 627-4927
Mailing address
1221 S ORTONVILLE RD, ORTONVILLE, MI 48462-8676
(248) 627-4978
(248) 627-4927
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301048944
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3235468
—
MI
Enumeration date
09/02/2006
Last updated
11/29/2011
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