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Individual

DR. GARY ROSS MCLEOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
1107 W BROADWAY ST, THREE RIVERS, MI 49093-9362
(269) 273-6712
(269) 273-3436
Mailing address
PO BOX 447, 1107 W. BROADWAY STREET, THREE RIVERS, MI 49093-0447
(269) 273-6712
(269) 273-3436

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301004587
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2119428
MI
Enumeration date
08/22/2005
Last updated
08/21/2012
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