| NPI | 1790029007 |
|---|---|
| Doing Business As | MCLEAN MEDICAL |
| Entity Type | Organization |
| Authorized Contact | JOHN MATTHEW MCLEAN Owner 734-819-1707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2012-11-27 |