Basic Information
| Provider Information | |||||||||
| NPI: | 1851557433 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DELEON | ||||||||
| FirstName: | MARIA | ||||||||
| MiddleName: | ROSARIO | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | D.O., M.P.H | ||||||||
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| Mailing Information | |||||||||
| Address1: | 24 FRANK LLOYD WRIGHT DR | ||||||||
| Address2: | PO BOX 0446 LOBBY J | ||||||||
| City: | ANN ARBOR | ||||||||
| State: | MI | ||||||||
| PostalCode: | 481059484 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7347476766 | ||||||||
| FaxNumber: | 7342223100 | ||||||||
| Practice Location | |||||||||
| Address1: | 2305 GENOA BUSINESS PARK DR STE 240 | ||||||||
| Address2: | |||||||||
| City: | BRIGHTON | ||||||||
| State: | MI | ||||||||
| PostalCode: | 481147005 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8104946820 | ||||||||
| FaxNumber: | 8102290747 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/02/2008 | ||||||||
| LastUpdateDate: | 12/30/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | 036122150 | IL | N | Allopathic & Osteopathic Physicians | Pediatrics | 208000000X | 5101022134 | MI | Y | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.