Individual
MICHAEL KENT MCLEOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4660 SOUTH HAGADORN ROAD, SUITE 600, EAST LANSING, MI 48823
(517) 267-2460
(517) 267-2462
Mailing address
804 SERVICE RD, # A109F, EAST LANSING, MI 48824-7015
(517) 884-2976
(517) 432-3928
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301039382
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0208151371
BCBS
—
05
—
4183947
—
MI
Enumeration date
03/17/2006
Last updated
07/20/2018
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