# MCLEAN COMMUNITY CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558963546
- **Authorized official:** NIKOLE MCLEAN NP (OWNER)
- **Authorized official phone:** (810) 270-9301

## Contact information

- **Practice address:** 5830 N LAPEER RD, STE B & C, NORTH BRANCH, MI 48461-9660
- **Practice address phone:** (810) 270-9301
- **Practice address fax:** (810) 270-9302
- **Mailing address:** 5830 N LAPEER RD, STE B & C, NORTH BRANCH, MI 48461-9660
- **Mailing address phone:** (810) 270-9301
- **Mailing address fax:** (810) 270-9302

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 11/13/2020
- **Last updated:** 11/13/2020