Individual
KAITLYN VICTORIA LESLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3901 BEAUBIEN STREET, DETROIT, MI 48201
(313) 745-5437
Mailing address
4201 ST. ANTOINE UHC 9C, DETROIT MEDICAL CENTER, GME OFFICE, DETROIT, MI 48201
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/03/2014
Last updated
01/07/2015
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