Individual
DR. JENNIFER A MCLELLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
610 E TAYLOR ST, PRAIRIE DU CHIEN, WI 53821-2109
(608) 326-6466
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
250712
MA
208600000X
Surgery Physician
41119
IA
208600000X
Surgery Physician
4301090378
MI
208600000X
Surgery Physician
Primary
61061
WI
Other
Enumeration date
07/08/2007
Last updated
03/24/2014
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