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Contact Information

TIMOTHY M LEICHT, PA-C
15855 19 MILE RD
CILNTON TOWNSHIP, MI48038-3504
 Phone: 800-653-6568
 Fax: 313-876-1305
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for TIMOTHY M LEICHT · (Male)

NPI Number 1831472067
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 09/23/2011
Last updated 12/11/2025 - About 6 months ago
Sole proprietor 1 No
Identifiers
  • MI License # 5601007605
  • PA License # MA055110
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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