Organization
MCLEOD EASTPOINTE CHIROPRACTIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS ALLEN MCLEOD D.O. (PRESIDENT)
(586) 774-8492
Entity
Organization
Contact information
Practice address
21349 KELLY RD, EASTPOINTE, MI 48021-3217
(586) 774-8492
Mailing address
21349 KELLY RD, EASTPOINTE, MI 48021-3217
(586) 774-8492
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301005579
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2693066
—
MI
01
—
950E05248
BLUE CROSS MI
MI
Enumeration date
03/30/2007
Last updated
07/25/2007
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