Healthcare Provider Details

I. General information

NPI: 1245200286
Provider Name (Legal Business Name): DAVID R SCHLEIF MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/24/2006
Last Update Date: 07/21/2022
Certification Date: 07/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

468 CADIEUX RD
GROSSE POINTE MI
48230-1507
US

IV. Provider business mailing address

130 TOWN CENTER DR STE 203
TROY MI
48084-1744
US

V. Phone/Fax

Practice location:
  • Phone: 313-473-1605
  • Fax: 313-473-1934
Mailing address:
  • Phone: 248-585-8221
  • Fax: 248-585-8270

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License Number4301038007
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: