Individual
DR. BRIAN S. MCLELLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7433 ELMWOOD AVE, MIDDLETON, WI 53562-3105
(608) 831-7799
(608) 831-8430
Mailing address
7433 ELMWOOD AVE, MIDDLETON, WI 53562-3105
(608) 831-7799
(608) 831-8430
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6988-15
WI
Other
Enumeration date
02/07/2008
Last updated
11/08/2012
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