Individual provider · Type 1 NPI

Matthias Harald Leuchtgens, MD

Student in an Organized Health Care Education/Training Program · Pontiac, MI

NPI number 1063709194 Active

Practice location

461 W Huron St
Pontiac, MI 48341-1601

Mailing address

142 S Johnson St
Pontiac, MI 48341-1616

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X4301098959 (MI)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1063709194

Matthias Harald Leuchtgens, MD's National Provider Identifier is 1063709194, issued on Jul 10, 2011. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Pontiac, MI. The record was last updated on Jul 10, 2011.