Individual
KEVIN J MCCLELLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1615 MAPLE LN, ASHLAND, WI 54806-3610
(715) 685-5290
(715) 685-5118
Mailing address
1615 MAPLE LN, ASHLAND, WI 54806-3610
(715) 685-5500
(715) 685-5118
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
33292
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31836700
—
WI
01
—
521359
PTAN
—
Enumeration date
06/15/2006
Last updated
05/23/2016
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