Individual
DR. LEO MARANON MADARANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3200 BEECHER RD., STE 02, FLINT, MI 48532-3685
(810) 342-5500
Mailing address
820 BOUTELL DR, GRAND BLANC, MI 48439-1943
(810) 210-7072
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35518
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0250315
BLUECARE NETWORK
MI
05
—
2097957
—
MI
01
—
382817349
EMPLOYER ID#
MI
Enumeration date
06/04/2006
Last updated
11/05/2008
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