Individual
DR. JOHN MICHAEL LECLAIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4446 CHERRYWOOD CT, NORTON SHORES, MI 49441-4808
(231) 798-2713
Mailing address
4446 CHERRYWOOD CT, NORTON SHORES, MI 49441-4808
(231) 798-2713
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
4301038974
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1375648
—
MI
Enumeration date
03/22/2006
Last updated
05/27/2014
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