Individual
DR. MITCHELL ROBERT MCCLEAN
Active
Individual
DR. MITCHELL ROBERT MCCLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01082310A
IN
390200000X
Student in an Organized Health Care Education/Training Program
11018640A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201369360
—
IN
01
—
264910360
MEDICARE
IN
Enumeration date
05/12/2016
Last updated
01/23/2023
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