Organization · NPI-2

A V De Leon Jr.,m.D.P.C.

Internal Medicine, Pulmonary Disease · Mount Clemens, MI

NPI number1871854232
StatusActive
Last updated in NPPESJun 1, 2012

Details

NPI
1871854232
Entity type
Organization (NPI-2)
Legal business name
A V De Leon Jr.,m.D.P.C.
Organization subpart
No
Enumeration date
Jun 1, 2012
Last updated
Jun 1, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RP1001X Internal Medicine, Pulmonary Disease4301037234MIYes

Practice location

215 North Ave
Mount Clemens, MI 48043-1716

Phone 586-465-1329 · Fax 586-465-0730

Mailing address

215 North Ave
Mount Clemens, MI 48043-1716

Phone 586-465-1329 · Fax 586-465-0730

Authorized official

Arsenio Deleon
President
5864651329

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