JACOB XAVIER MCCLELLAN

WARREN, MI
NPI1205637469
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-03-24
Last Update Date2025-03-24
Business Address
Mr. JACOB XAVIER MCCLELLAN DO
11900 E 12 MILE RD STE 205
WARREN, MI 48093-3499
Phone number: 586-582-7033
Mailing Address
Mr. JACOB XAVIER MCCLELLAN DO
11800 E 12 MILE RD
WARREN, MI 48093-3472
Phone number: