Individual
DANIEL MAX MCLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPAS, PA-C
Contact information
Practice address
8507 S 5TH ST STE 113, RIDGEFIELD, WA 98642-3422
(360) 887-9494
Mailing address
8507 S 5TH ST STE 113, RIDGEFIELD, WA 98642-3422
(360) 887-9494
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.PA.61311294
WA
363A00000X
Physician Assistant
PAD T 2368
AK
363AM0700X
Medical Physician Assistant
1211
AK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/15/2013
Last updated
10/06/2022
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