Individual
DR. SCOTT GORDON MCLEOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
48073 VAN DYKE AVE, SHELBY TOWNSHIP, MI 48317-3258
(586) 739-6262
(586) 739-4540
Mailing address
48073 VAN DYKE AVE, SHELBY TOWNSHIP, MI 48317-3258
(586) 739-6262
(586) 739-4540
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301005951
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E001880
BLUE CROSS BLUE SHIELD
MI
05
—
4789694
—
MI
01
—
5274511
AETNA
MI
Enumeration date
05/25/2006
Last updated
04/09/2008
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