Individual
DR. RONALD JOHN LECLAIR
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
432 M 55 W, TAWAS CITY, MI 48763-9239
(989) 362-8991
(989) 362-6237
Mailing address
432 M 55 W, TAWAS CITY, MI 48763-9239
(989) 362-8991
(989) 362-6237
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301002861
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103719
MOLINA HEALTHCARE
MI
05
—
2110235
—
MI
01
—
382187798100
COMMUNITY CHOICE MI
MI
01
—
950C55006
BLUECROSSBLUE SHIELD
MI
Enumeration date
06/01/2005
Last updated
07/08/2007
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