Individual
SCOTT ALAN MCLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
4301084147
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
472457310
—
MI
01
—
700H262260
BLUE CROSS-BLUE CROSS
—
01
—
SM084147
COMMERCIAL-COMMERCIAL NUMBER
—
Enumeration date
11/28/2006
Last updated
12/08/2020
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