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Individual
DR. JOHN MATHESON MCLELLAN
Active
Individual
DR. JOHN MATHESON MCLELLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MDCM
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
042-0005310
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0004563
—
VT
01
—
03-0354915
TAX ID
VT
Enumeration date
11/01/2006
Last updated
04/30/2008
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