Individual
JEFFREY LEDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
3399 POLLOCK RD, GRAND BLANC, MI 48439-8393
(810) 603-0170
(810) 579-1705
Mailing address
3399 POLLOCK RD, GRAND BLANC, MI 48439-8393
(810) 603-0170
(810) 579-1705
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
5101007301
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0616002
HEALTH PLUS OF MICHIGAN
MI
05
—
3369917
—
MI
Enumeration date
03/10/2006
Last updated
10/09/2007
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