Individual
JENNIFER M MCLELLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
935 STATE ROUTE 28, MILFORD, OH 45150-1957
(513) 831-8555
(513) 831-8685
Mailing address
935 STATE ROUTE 28, MILFORD, OH 45150-1957
(513) 831-5955
(513) 831-5985
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35075113M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2208677
—
OH
Enumeration date
07/20/2005
Last updated
10/28/2020
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