Organization
LESLIE G MACAULEY MD PC
Active
Other names
Leslie G Macauley MD PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLIE GREENE MACAULEY (MEDICAL DIRECTOR)
(517) 333-7115
Entity
Organization
Contact information
Practice address
4970 NORTHWIND DR, SUITE 220, EAST LANSING, MI 48823-5080
(517) 333-7115
(517) 333-6771
Mailing address
PO BOX 428, 611 COURT STREET, WEST BRANCH, MI 48661-0428
(877) 595-1090
(989) 345-5803
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301062299
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4455930
—
MI
Enumeration date
01/24/2006
Last updated
08/22/2020
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