Individual
DR. ANDREW COVINGTON KLEAVELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1560 E SHERMAN BLVD, SUITE 250, MUSKEGON, MI 49444-1867
(231) 672-8145
(231) 672-8111
Mailing address
PO BOX 1847, MUSKEGON, MI 49443-1847
(231) 727-4444
(231) 728-4789
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
4301048293
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1653718
—
MI
01
—
29 061 0824 1
BLUE CROSS BLUE SHIELD
MI
01
—
4301048293
STATE LICENSE NUMBER
MI
Enumeration date
09/14/2006
Last updated
07/26/2016
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