Individual
DR. ANDREW JOHN MACLENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1375 E 19TH AVE, DENVER, CO 80218-1114
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
49625
CO
208M00000X
Hospitalist Physician
Primary
49625
CO
390200000X
Student in an Organized Health Care Education/Training Program
150188
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021729
KAISER COMMERCIAL NUMBER
CO
05
—
72204567
—
CO
Enumeration date
06/13/2008
Last updated
07/27/2021
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