Individual
MATTHEW JAMES MCLEOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1220 SHEYENNE ST, WEST FARGO, ND 58078-2637
(701) 234-4445
Mailing address
1220 SHEYENNE ST, WEST FARGO, ND 58078-2637
(701) 234-4445
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
LT12948
ND
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/27/2010
Last updated
01/15/2014
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