Individual
IAN MACLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
667 KINGSBOROUGH SQUARE, SUITE 300, CHESAPEAKE, VA 23320
(757) 422-5476
Mailing address
PO BOX 715868, PHILADELPHIA, PA 19171-5868
(804) 327-9242
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101274344
VA
207X00000X
Orthopaedic Surgery Physician
125.068198
IL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
0101274344
VA
Other
Enumeration date
06/27/2016
Last updated
05/20/2024
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