Doctor Name: | DR. JOHN MICHAEL LECLAIRE |
NPI Number: | 1184683781 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 4301038974 |
Business Practice Address: | 4446 Cherrywood Ct Norton Shores, MI - 494414808 |
Business Phone Number: | 2317982713 |
Business Fax Number: | |
Mailing Address: | 4446 Cherrywood Ct, NORTON SHORES |
State: | MI |
Postal Code: | 494414808 |
Phone Number: | 2317982713 |
Fax Number: | |
NPI Enumeration Date: | 03/22/2006 |
NPI Last Update Date: | 05/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225400000X |
License Number: | 4301038974 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Rehabilitation Practitioner |
Taxonomy Specialization: | |
Taxonomy Definition: | A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |