Individual
MICHAEL VINCENT MCLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2699 N 17TH ST, COOS BAY, OR 97420-2111
(541) 266-3600
(541) 269-0708
Mailing address
2699 N 17TH ST, COOS BAY, OR 97420-2111
(541) 266-3600
(541) 269-0708
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD12773
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
245779
—
OR
Enumeration date
05/17/2006
Last updated
11/02/2007
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