Individual
BORIS J LEHETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25100 KELLY RD, ROSEVILLE, MI 48066-4910
(586) 771-7440
(586) 771-9966
Mailing address
25100 KELLY RD, ROSEVILLE, MI 48066-4910
(586) 771-7440
(586) 771-9966
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
BL049688
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3389375
—
MI
Enumeration date
07/02/2006
Last updated
01/20/2015
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