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General NPI Number Information
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NPI Number | 1447230032
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Entity Type | Individual
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Provider Name | MICHAEL JEFFREY LEINWAND MD
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Gender | Male
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Dates
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Enumeration Date | 01/19/2006
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Last Update Date | 01/06/2025
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Provider Practice Location Address
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Address Line | 601 JOHN ST SUITE M351
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City | KALAMAZOO
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State | MI
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Zip | 49007-5341
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Country | US
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Telephone | 226-934-1690
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Fax | 269-341-7883
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Provider Business Mailing Address
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Address Line | 601 JOHN ST SUITE M-351
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City | KALAMAZOO
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State | MI
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Zip | 49007-5341
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Country | US
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Telephone | 269-341-1690
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Fax | 269-341-7883
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0120X
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Taxonomy Name | Pediatric Surgery Physician
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License Number | 4301086349
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 2086S0120X
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Taxonomy Name | Pediatric Surgery Physician
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License Number | 75727
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | ME160795
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License Number State | FL
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