Individual
MR. DERON ROBERT MCCLELLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
420 W RUSSELL ST, SUITE 107, SALINE, MI 48176-1160
(734) 429-1595
(734) 429-0205
Mailing address
401 BURTON ST, CLINTON, MI 49236-9767
(517) 214-3174
(734) 429-0205
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/16/2006
Last updated
07/08/2007
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