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John Leclaire M.D., P.L.C.

Specialist in Muskegon, MI. Organization (NPI-2).

NPI number1639123771
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1639123771
Entity type
Organization (NPI-2)
Legal business name
John Leclaire M.D., P.L.C.
Organization subpart
No
Enumeration date
May 22, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X Specialistjl038974MIYes

Practice location

172 E Forest Ave
Muskegon, MI 49442-5541

Phone 231-728-3749 · Fax 231-722-4652

Mailing address

Po Box 86
Muskegon, MI 49443-0086

Phone 231-780-6086 · Fax 231-780-6093

Authorized official

John Leclaire
Owner
2317283749

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