Individual
LEONORE K DEICHELBOHRER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1500 EAST MICHIGAN CENTER DR, B1 FLOOR UNIVERSITY HOSPITAL RECP C, ANN ARBOR, MI 48109-5030
(734) 936-4500
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704116007
MI
Other
Enumeration date
09/19/2007
Last updated
12/10/2018
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