Individual
JAMES ALEXANDER MCLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
621 FULTON ST, PORT CLINTON, OH 43452
(419) 732-6520
(419) 734-5414
Mailing address
621 FULTON ST, PORT CLINTON, OH 43452
(419) 732-6520
(419) 734-5414
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35-06-9430
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0368105
—
OH
01
—
211841
ANTHEM BCBS OF OHIO
OH
Enumeration date
10/02/2006
Last updated
10/06/2020
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