Individual
DR. LESLIE GLENN BIESECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
49 CONVENT DR RM 4A56, BETHESDA, MD 20892-0001
(301) 402-2041
(301) 402-2170
Mailing address
49 CONVENT DR RM 4A56, BETHESDA, MD 20892-0001
(301) 402-2041
(301) 402-2170
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
L1436933
MI
208000000X
Pediatrics Physician
L1436933
MI
Other
Enumeration date
10/28/2009
Last updated
10/28/2009
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