Individual
MARY T MCLENNAN
Active
Individual
MARY T MCLENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
102677
MO
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
102677
MO
207VG0400X
Gynecology Physician
102677
MO
Other
Enumeration date
08/10/2006
Last updated
01/18/2021
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