DR. Benjamin J Leak, M.D.

NPI #1043248867 in Bloomington, Illinois

Provider Information

NPI Number
1043248867
Entity Type
Individual
Name
DR. Benjamin J Leak, M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Urology
Credential
M.D.
Enumeration Date
Jun 29, 2006
Last Updated
Sep 13, 2007

Practice Location

Address
1401 EASTLAND DR
Address 2
SUITE B
ZIP Code
61701-3514
Phone
(309) 663-9424

Specialties & Taxonomy Codes

Specialty
Urology

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