Individual
DR. JAMES D LEEDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
11460 HIGHLAND RD, HARTLAND, MI 48353-2710
(810) 632-7700
(810) 632-9770
Mailing address
11460 HIGHLAND RD, HARTLAND, MI 48353-2710
(810) 632-7700
(810) 632-9770
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
095579
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123473
CARE CHOICES PPO
MI
05
—
290825
—
MI
01
—
950D700080
BC/BS
MI
01
—
P77386
BLUE CARE NETWORK
MI
Enumeration date
07/19/2005
Last updated
09/08/2014
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