| Leisa Dettloff, | |
|
44201 Dequindre Rd, Troy, MI 48085-1117 | |
| (248) 964-5000 | |
| Not Available |
| Full Name | Leisa Dettloff |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 44201 Dequindre Rd, Troy, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972156818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4704292580 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Leisa Dettloff, 14214 Moravian Manor Cir, Sterling Heights, MI 48312-5796 Ph: () - | Leisa Dettloff, 44201 Dequindre Rd, Troy, MI 48085-1117 Ph: (248) 964-5000 |
Melissa Baker, AGPCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5440 Corporate Dr, Troy, MI 48098 Phone: 866-902-5854 | |
Dr. Martha M Sturgeon, DNP ACNS-BC NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6963 Killarney Dr, Troy, MI 48098 Phone: 248-879-2871 | |
Kristen M Light, DNP, RN, AGPCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 44201 Dequindre Rd, Troy, MI 48085 Phone: 248-964-5000 | |
Mrs. Kimberly Anne Fox, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2041 E Square Lake Rd Ste 300, Troy, MI 48085 Phone: 248-813-0124 Fax: 248-879-0148 | |
Ellen Tan, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3290 W Big Beaver Rd Ste 150, Troy, MI 48084 Phone: 248-792-6527 | |
Mrs. Bernadette Sarah Below, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2095 E Big Beaver Rd Ste 375, Troy, MI 48083 Phone: 248-705-6223 Fax: 248-253-1462 | |
Brian August Prize, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 44201 Dequindre Rd, Troy, MI 48085 Phone: 248-303-4832 |