Individual
THOMAS RICHARD MCLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4101 S 4TH ST, LEAVENWORTH, KS 66048-5014
(913) 682-2000
Mailing address
4101 S 4TH ST, LEAVENWORTH, KS 66048-5014
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
04-24068
KS
208600000X
Surgery Physician
04-24068
KS
2086S0102X
Surgical Critical Care Physician
04-24068
KS
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
04-24068
KS
Other
Enumeration date
05/11/2006
Last updated
09/05/2013
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