Individual
CHRISTOPHER THOMAS MCLAREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5067 55TH ST NW, ROCHESTER, MN 55901-3809
(507) 292-7070
Mailing address
5067 55TH ST NW, ROCHESTER, MN 55901-3809
(507) 292-7070
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11848
MN
363AM0700X
Medical Physician Assistant
0010-02263
NC
363AM0700X
Medical Physician Assistant
PA 001213
ME
363AS0400X
Surgical Physician Assistant
PA 001213
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010-02263
NC MEDICAL LICENSE
NC
01
—
11848
MINNESOTA MEDICAL LICENSE
MN
01
—
PA 001213
MAINE MEDICAL LICENSE NUMBER
ME
Enumeration date
06/19/2010
Last updated
07/19/2024
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