Glen E Leer D.O.

NPI 1063505667 - Family Medicine - 207QA0505X

NPI Details
NPI 1063505667
Gender Male
Enumeration Date 10/02/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
204 W. MAIN STREET
ARCADIA IN, 46030, US
Phone (317) 984-0110
Fax (317) 984-5862
Business Location
PO BOX 383
ARCADIA IN, 46030-0383, US
Phone (317) 984-0110
Fax (317) 984-5862
Toxanomy
Taxonomy Code 207QA0505X
License State Indiana
License Number 02001252A
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According to our database, Glen E Leer D.O. NPI is 1063505667, taxonomy code is 207QA0505X and license number is 02001252A, license state is located at Indiana. Glen E Leer D.O. physically located at 204 W. Main Street, Arcadia IN, 46030. NPI Number Glen E Leer D.O. has the Individual type.

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1063505667 NPI number is provided on an as is basis without warranty of any kind. 1063505667 is maintained by the National Plan & Provider Enumeration System. The contents of Glen E Leer D.O. are for informational purposes only.