Provider Demographics
NPI:1811073653
Name:LEFF, STUART GERALD (DPM)
Entity type:Individual
Prefix:DR
First Name:STUART
Middle Name:GERALD
Last Name:LEFF
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2405 E 14 MILE RD
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48310-5961
Mailing Address - Country:US
Mailing Address - Phone:586-268-6110
Mailing Address - Fax:586-264-1155
Practice Address - Street 1:2405 E 14 MILE RD
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48310-5961
Practice Address - Country:US
Practice Address - Phone:586-268-6110
Practice Address - Fax:586-264-1155
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2009-11-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5901000543213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
198465OtherTOTAL HEALTH CARE
4440671OtherMI CONFERENCE OF TEAMSTER
480027371OtherTRAVELERS 2
6532OtherCAPE
T3406OtherHAPCHOICE
T34062OtherHAPHMO
T34062OtherHEALTHCHOICE
C4788OtherMCARE
480027371OtherRAILROAD MEDICARE
5505253OtherBLUE CROSS
T34062OtherHAPPPO
480E002220OtherBC
382639223OtherPPOM
0E00222OtherBC
1698596OtherMIDWEST HEALTH PLAN
4855052530OtherBLUE CARE NETWORK
T34062OtherHAP
480027371OtherTRAVELERS 2
5505253OtherBLUE CROSS
C4788OtherMCARE