Provider Demographics
NPI:1295820413
Name:LEEMAN, MICHAEL R (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:R
Last Name:LEEMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4601 BLACKROCK DR
Mailing Address - Street 2:APT 427
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95835-2208
Mailing Address - Country:US
Mailing Address - Phone:617-636-6044
Mailing Address - Fax:
Practice Address - Street 1:2315 STOCKTON BLVD
Practice Address - Street 2:DEPT OF ANESTHESIOLOGY & PAIN MEDICINE,SUITE 1200, PSSB
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817
Practice Address - Country:US
Practice Address - Phone:916-734-5048
Practice Address - Fax:916-734-7980
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2007-09-14
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Provider Licenses
StateLicense IDTaxonomies
MA230272207L00000X
CAA100531207LP3000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP3000XAllopathic & Osteopathic PhysiciansAnesthesiologyPediatric Anesthesiology
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology