Basic Information
Provider Information
NPI: 1437300027
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PAPALEONTIOU
FirstName: MARIA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3621 S STATE ST
Address2: 700 KMS PLACE
City: ANN ARBOR
State: MI
PostalCode: 481081633
CountryCode: US
TelephoneNumber: 7349362047
FaxNumber:  
Practice Location
Address1: 24 FRANK LLOYD WRIGHT DR
Address2: LOBBY C SUITE 1300
City: ANN ARBOR
State: MI
PostalCode: 481059484
CountryCode: US
TelephoneNumber: 7346475871
FaxNumber: 7346472145
Other Information
ProviderEnumerationDate: 10/01/2008
LastUpdateDate: 07/31/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RE0101X4301097979MIY Allopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
207R00000X4301097979MIN Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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