Individual
DR. JOHN WILLIAM MCCLELLAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
19730
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00094
BCBS
NE
05
—
1514281
—
NE
01
—
200037481
RAILROAD MEDICARE
NE
05
—
47081304012
—
NE
Enumeration date
05/31/2005
Last updated
01/28/2009
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