DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. DANIEL JOHN LEGAULT, MD

Active Sole Proprietor

Nephrology · GRAND RAPIDS, MI

Registration Details

NPI Number
1649204892
Provider Type
Individual
Gender
Male
NPI Issued
Jul 11, 2006 (19.846114390669 yrs)
Last Updated
Oct 29, 2021
License
DL056685 (MI)
Sole Proprietor
Yes

Practice Information

Address
330 E BELTLINE AVE NE
SUITE 100
GRAND RAPIDS, MI, 495061267
Browse MI providers · Browse ZIP 49506
Phone
6167526235
Fax
6167526324
Primary Specialty
Nephrology
207RN0300X

Other Nephrology Providers in GRAND RAPIDS, MI

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.