Individual
DR. LESLIE SPENCER ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5333 MCAULEY DR RM 6016, YPSILANTI, MI 48197-1014
(734) 712-8350
(734) 712-8351
Mailing address
5333 MCAULEY DR, SUITE 6016, YPSILANTI, MI 48197-1014
(734) 712-8350
(734) 712-8351
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
41550
AZ
2085R0202X
Diagnostic Radiology Physician
Primary
4301082185
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
424851
—
AZ
Enumeration date
05/30/2007
Last updated
07/08/2021
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