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NPI Code Detail

MEDICARE: DR. HAROLD R LEACH MD

MEDICARE: DR. HAROLD R LEACH 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
1207V00000XObstetrics & Gynecology Physician4301035174MI

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 : 1437144045
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HAROLD R LEACH MD
Provider Business Mailing Address
First Line : 6900 ORCHARD LAKE RD
Second Line : STE 306
City : WEST BLOOMFIELD
State : MI
Zip : 48322-3405
Country : US
Telephone Number : 248-855-6663
Fax Number : 248-855-7546
Provider Business Practice Location Address
First Line : 6900 ORCHARD LAKE RD
Second Line : STE 306
City : WEST BLOOMFIELD
State : MI
Zip : 48322-3405
Country : US
Telephone Number : 248-855-6663
Fax Number : 248-855-7546
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2005
Last Update Date : 01/03/2008

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