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NPI Code Detail

MEDICARE: DR. RONALD PAUL LEEMHUIS MD

MEDICARE: DR. RONALD PAUL LEEMHUIS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice PhysicianMD022978EPA
2207Q00000XFamily Medicine PhysicianMD022978EPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083618540
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RONALD PAUL LEEMHUIS MD
Provider Business Mailing Address
First Line : 4601 BASSWOOD DR
Second Line :
City : ERIE
State : PA
Zip : 16506-1553
Country : US
Telephone Number : 814-456-2003
Fax Number : 814-456-4098
Provider Business Practice Location Address
First Line : 227 W 22ND ST
Second Line :
City : ERIE
State : PA
Zip : 16502-2614
Country : US
Telephone Number : 814-456-2003
Fax Number : 814-456-4098
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2005
Last Update Date : 06/09/2026

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