Individual
BRIAN LECLEIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 MICHIGAN ST NE, MC #13, GRAND RAPIDS, MI 49503-2560
(616) 267-0073
Mailing address
2590 KNIGHTSBRIDGE RD SE, GRAND RAPIDS, MI 49546-6755
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301101263
MI
Other
Enumeration date
06/26/2012
Last updated
06/26/2012
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