Individual
DR. MICHAEL J CLEGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
WHMC 2200 BERGQUIST DRIVE, SUITE 1, LACKLAND AIR FORCE BASE, TX 78236-5300
(210) 292-7667
Mailing address
55 WESTPORT PLAZA DR., SUITE 300, ST. LOUIS, MO 63146-5300
(314) 548-4715
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
23957
NE
208D00000X
General Practice Physician
23957
NE
Other
Enumeration date
05/03/2007
Last updated
07/24/2017
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