Organization
LESLEY B MCCONVILLE MD PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLEY B MCCONVILLE MD (OWNER)
(517) 416-3770
Entity
Organization
Contact information
Practice address
44 MONROE ST, HILLSDALE, MI 49242-1273
(517) 437-3545
Mailing address
3061 CHRISTY WAY, SAGINAW, MI 48603-2267
(989) 791-2455
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
4301073094
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4304837
—
MI
Enumeration date
06/03/2006
Last updated
11/29/2007
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