Organization
ANDREW C. KLEAVELAND, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW C KLEAVELAND M.D. (OWNER)
(231) 733-8145
Entity
Organization
Contact information
Practice address
1560 EAST SHERMAN BOULEVARD, SUITE 150, MUSKEGON, MI 49444-1867
(231) 733-8145
(231) 733-5394
Mailing address
1560 E SHERMAN BLVD, SUITE 150, MUSKEGON, MI 49444-1867
(231) 733-8145
(231) 733-5394
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
207RP1001X
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1653718
—
MI
01
—
AK048293
BLUE CROSS
MI
Enumeration date
02/28/2007
Last updated
08/22/2020
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