Individual
DR. GEORGE J LEACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
20270 MIDDLEBELT RD, SUITE 10, LIVONIA, MI 48152-2000
(248) 476-1210
(248) 476-9280
Mailing address
20270 MIDDLEBELT RD, SUITE 10, LIVONIA, MI 48152-2000
(248) 476-1210
(248) 476-9280
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
5101006363
MI
207U00000X
Nuclear Medicine Physician
5101006363
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4297465/11
—
MI
Enumeration date
10/03/2006
Last updated
10/17/2007
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