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Organization

MPA GROUP LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RONALD D. LEIX M.B.A. (CEO)
(989) 667-9661
Entity
Organization

Contact information

Practice address
1217 S EUCLID AVE, BAY CITY, MI 48706-3311
(989) 667-9661
(989) 667-9680
Mailing address
1217 S EUCLID AVE, BAY CITY, MI 48706-3311
(989) 667-9661
(989) 667-9680

Taxonomy

Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
4301026598
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2793633
MI
Enumeration date
07/24/2007
Last updated
07/24/2007
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