Individual
DEANNA LOUISE MCCLAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6869 S OCCIDENTAL RD, TECUMSEH, MI 49286
(517) 423-4777
(517) 423-7257
Mailing address
1 SEAGATE STE 800, TOLEDO, OH 43604-1558
(517) 423-4777
(517) 423-7257
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
4704136054
MI
363L00000X
Nurse Practitioner
Primary
4704136054
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275069957
—
MI
Enumeration date
05/02/2017
Last updated
01/04/2019
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