Individual
MR. JEFFREY A LEINICKE
Active
Individual
MR. JEFFREY A LEINICKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
4301041596
MI
207RG0100X
Gastroenterology Physician
MD60095455
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F17616001
MEDICARE ID
MI
05
—
2803023
—
MI
Enumeration date
10/31/2005
Last updated
09/09/2011
Update your record
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