Leibold, Walter Clifford

Leibold, Walter Clifford is an individual health care provider with primary practice located at 2106 S Gray Rd , West Branch MI 48661-9606. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Leibold, Walter Clifford can be contacted via phone (989) 345-7880.

Contact Information

Primary practice address
2106 S Gray Rd West Branch MI 48661-9606
Phone: (989) 345-7880
Fax: (989) 345-7882
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X WL041417 Michigan
Allopathic & Osteopathic Physicians / General Practice 208D00000X 4301041417 Michigan

Profile Details

NPI number 1316023526
LBN Legal business name Leibold, Walter Clifford
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2006
Last updated Jun 19th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316023526 NPPES
Michigan MEDICAID 2125588

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