Healthcare Provider Details

I. General information

NPI: 1902068059
Provider Name (Legal Business Name): ROBERT ENGLISH LEININGER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2008
Last Update Date: 12/13/2024
Certification Date: 12/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

128 WERTZ AVE NW STE C
CANTON OH
44708-4196
US

IV. Provider business mailing address

128 WERTZ AVE NW STE C
CANTON OH
44708-4196
US

V. Phone/Fax

Practice location:
  • Phone: 614-293-2594
  • Fax:
Mailing address:
  • Phone: 614-293-2594
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number35.120358
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: