Individual
BETH MCLELLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3031 W GRAND BLVD, DETROIT, MI 48202-3046
(313) 916-4417
Mailing address
12239 LESSARD ST., TECUMSEH, ONTARIO N8N 4-M1
(519) 962-9195
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704209596
MI
Other
Enumeration date
02/16/2016
Last updated
02/16/2016
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