Provider Demographics
NPI:1417168071
Name:QUINN, LEON JAMES (M D)
Entity Type:Individual
Prefix:DR
First Name:LEON
Middle Name:JAMES
Last Name:QUINN
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:4873 DORAL DR
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108-8537
Mailing Address - Country:US
Mailing Address - Phone:734-994-5665
Mailing Address - Fax:734-973-2445
Practice Address - Street 1:4873 DORAL DR
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48108-8537
Practice Address - Country:US
Practice Address - Phone:734-994-5665
Practice Address - Fax:734-973-2445
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-25
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI43010262782084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4301026278OtherSTATE MEDICAL LICENSE
MI4301026278OtherSTATE MEDICAL LICENSE