Healthcare Provider Details

I. General information

NPI: 1538233044
Provider Name (Legal Business Name): LELAND J. ROPP M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/17/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HENRY FORD HEALTH SYSTEM 19401 HUBBARD DRIVE
DEARBORN MI
48126
US

IV. Provider business mailing address

HENRY FORD HEALTH SYSTEM 19401 HUBBARD DRIVE
DEARBORN MI
48126
US

V. Phone/Fax

Practice location:
  • Phone: 313-982-8330
  • Fax: 313-982-8294
Mailing address:
  • Phone: 313-982-8330
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PP0204X
TaxonomyPediatric Emergency Medicine (Emergency Medicine) Physician
License Number054190
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: