Leslie, Mark Stanton

Leslie, Mark Stanton is an individual health care provider with primary practice located at 701 W Front St Suite 100, Traverse City MI 49684-2287. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hand Surgery, which is considered as his primary health care specialty. Leslie, Mark Stanton can be contacted via phone (231) 935-0800.

Contact Information

Primary practice address
701 W Front St Suite 100 Traverse City MI 49684-2287
Phone: (231) 935-0800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 4301044780 Michigan

Profile Details

NPI number 1992701460
LBN Legal business name Leslie, Mark Stanton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Oct 22nd, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1992701460 NPPES
Michigan MEDICAID 4212833
Michigan Other 0B81023

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