Leatherwood, Stacy L.

Leatherwood, Stacy L. is an individual health care provider with primary practice located at 2799 W Grand Blvd , Detroit MI 48202-2608. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Leatherwood, Stacy L. can be contacted via phone (313) 916-2600.

Contact Information

Primary practice address
2799 W Grand Blvd Detroit MI 48202-2608
Phone: (313) 916-2600
Fax: (313) 916-3235
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301068427 Michigan

Profile Details

NPI number 1306993118
LBN Legal business name Leatherwood, Stacy L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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