Individual
CAROLE MARIE MCCLANAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
830 NE ALICES RD, WAUKEE, IA 50263-8857
(515) 875-9766
Mailing address
PO BOX 424, DES MOINES, IA 50302-0424
(515) 875-9925
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0059969
CO
207N00000X
Dermatology Physician
Primary
MD-56000
IA
207N00000X
Dermatology Physician
R-10181
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2014
Last updated
03/06/2026
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