person
Leisa Dettloff
Family Nurse Practitioner in Troy, Michigan
NPI 1972156818

Leisa Dettloff is a Family Nurse Practitioner based in Sterling Heights, MI and is specialized in Family. Leisa Dettloff practices in Troy, MI. The NPI Number for Leisa Dettloff is 1972156818 and holds a License No. 4704292580 (Michigan).

The current practice location address for Leisa Dettloff is 44201 Dequindre Rd, Troy, MI and can be reached out via phone at 248-964-5000.

Location: 44201 Dequindre Rd, Troy, MI, 48312-5796
person
Provider Profile Details
NPI Number
1972156818
Provider Name
Leisa Dettloff
Credential
Provider Entity Type
Individual
Gender
Female
Address
44201 Dequindre Rd, Troy, MI, 48312-5796
Phone Number
248-964-5000
Fax Number
Provider Enumeration Date
07/19/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
44201 Dequindre Rd
City
State
Zip
48085-1117
Phone Number
248-964-5000
Fax Number
person
Provider Business Mailing Address Details
Address
44201 Dequindre Rd
City
State
Zip
48085-1117
Phone Number
248-964-5000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
4704292580 (Michigan)
Definition
Definition to come...
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