Individual
ANN M LEATHERSICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
660 S EUCLID AVE, BOX 8118, SAINT LOUIS, MO 63110-1010
(314) 362-0101
Mailing address
660 S EUCLID AVE, BOX 8118, SAINT LOUIS, MO 63110-1010
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
2006016548
MO
Other
Enumeration date
03/22/2007
Last updated
07/30/2007
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