Individual provider · Type 1 NPI

Michael Carlson Leisle, MD

Military Health Care Provider · Tacoma, WA

NPI number 1831904036 Active

Practice location

9040 Jackson Ave
Tacoma, WA 98431-0001

Call (253) 968-3105 Map

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XNone listed

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1831904036

Michael Carlson Leisle, MD's National Provider Identifier is 1831904036, issued on Feb 13, 2025. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Tacoma, WA. The record was last updated on Feb 13, 2025.