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1306993118
STACY L. LEATHERWOOD
DETROIT, MI
NPI
1306993118
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: MI 4301068427)
Enumeration Date
2007-01-04
Last Update Date
2007-07-08
Business Address
STACY L. LEATHERWOOD M.D.
2799 W GRAND BLVD
DETROIT, MI 48202-2608
Phone number: 313-916-2600
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Mailing Address
STACY L. LEATHERWOOD M.D.
2799 W GRAND BLVD
DETROIT, MI 48202-2608
Phone number: 313-916-2600
Copy
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