Organization
JOHN LECLAIRE M.D., P.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN LECLAIRE M.D. (OWNER)
(231) 728-3749
Entity
Organization
Contact information
Practice address
172 E FOREST AVE, MUSKEGON, MI 49442-5541
(231) 728-3749
(231) 722-4652
Mailing address
PO BOX 86, MUSKEGON, MI 49443-0086
(231) 780-6086
(231) 780-6093
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
JL038974
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1375648
—
MI
Enumeration date
05/22/2006
Last updated
08/22/2020
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