Provider Demographics
NPI:1295085538
Name:SKERKER, LEONARD BEN (MD)
Entity type:Individual
Prefix:
First Name:LEONARD
Middle Name:BEN
Last Name:SKERKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13630 GULF BLVD
Mailing Address - Street 2:600C
Mailing Address - City:MADEIRA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33708-2597
Mailing Address - Country:US
Mailing Address - Phone:734-834-3678
Mailing Address - Fax:
Practice Address - Street 1:13630 GULF BLVD
Practice Address - Street 2:600C
Practice Address - City:MADEIRA BEACH
Practice Address - State:FL
Practice Address - Zip Code:33708-2597
Practice Address - Country:US
Practice Address - Phone:734-834-3678
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-13
Last Update Date:2012-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI0341812085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology