Individual
CARRIE FENTON LEFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
39475 LEWIS DR STE 130, NOVI, MI 48377-2977
(248) 374-0502
Mailing address
39475 LEWIS DR STE 130, NOVI, MI 48377-2977
(248) 374-0502
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101015020
MI
208000000X
Pediatrics Physician
5101015020
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F31794
BCBS OF MI
MI
Enumeration date
08/15/2006
Last updated
01/05/2021
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