Individual
MICHAEL DAVID LEGMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15107 VANOWEN STREET, PATHOLOGY DEPARTMENT, VAN NUYS, CA 91405
(818) 902-2961
(818) 902-3903
Mailing address
PO BOX 260023, SAINT LOUIS, MO 63126-8023
(314) 849-3535
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A94915
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A949150
—
CA
Enumeration date
07/25/2006
Last updated
09/14/2021
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