Provider Demographics
NPI:1568671972
Name:ALLERGY & IMMUNOLOGY ASSOCIATES OF ANN ARBOR, P.C.
Entity Type:Organization
Organization Name:ALLERGY & IMMUNOLOGY ASSOCIATES OF ANN ARBOR, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:G
Authorized Official - Last Name:LEFLEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:734-434-3007
Mailing Address - Street 1:4350 JACKSON RD STE 370
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-1889
Mailing Address - Country:US
Mailing Address - Phone:734-434-3007
Mailing Address - Fax:734-434-6317
Practice Address - Street 1:2000 N HURON RIVER DR STE 200
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-1791
Practice Address - Country:US
Practice Address - Phone:734-434-3007
Practice Address - Fax:734-434-6317
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301035591207KA0200X, 2080P0201X, 207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergyGroup - Multi-Specialty
No2080P0201XAllopathic & Osteopathic PhysiciansPediatricsPediatric Allergy/ImmunologyGroup - Multi-Specialty