Individual
DR. LESLIE GREENE MACAULEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4970 NORTHWIND DR, EAST LANSING, MI 48823-5080
(989) 345-1000
(989) 345-5803
Mailing address
611 COURT ST, PO BOX 428, WEST BRANCH, MI 48661-9390
(989) 345-1000
(989) 345-5803
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
4301062299
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4455930
—
MI
Enumeration date
10/26/2006
Last updated
07/08/2007
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