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GEORGE J LEACH D O P C NPI 1598028334


NPI Information

NPI: 1598028334
Provider Name: GEORGE J LEACH D O P C
Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

Address:
20270 MIDDLEBELT RD
SUITE 10
LIVONIA, MI
ZIP 48152
Phone: (248) 476-1210
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GEORGE J LEACH D O P C is an endocrinology and diabetes and metabolism internal medicine in Livonia, MI. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. GEORGE J LEACH D O P C NPI is 1598028334. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

20270 MIDDLEBELT RD
SUITE 10
LIVONIA, MI
ZIP 48152-000
Phone: (248) 476-1210
Fax: (248) 476-9280

The provider's authorized official is George Jay Leach .
The authorized official title is Endocrinology and has the following contact phone number (248) 476-1210.

The enumeration date for this NPI number is 6/18/2012 and was last updated on 6/18/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismGL006363MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14297465MEDICAIDMICHIGAN
2B45803MEDICARE UPINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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