Doctor Name: | LEILA MONDEJAR KEELER |
NPI Number: | 1871759928 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | 5101017586 |
Business Practice Address: | 2215 44th St Sw Wyoming, MI - 495196439 |
Business Phone Number: | 6162528300 |
Business Fax Number: | 6162528460 |
Mailing Address: | 2122 Health Dr Sw, Suite 230 WYOMING |
State: | MI |
Postal Code: | 495199698 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/29/2008 |
NPI Last Update Date: | 01/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 5101017586 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |