Individual
DR. MICHAEL M MCCLELLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2135 DANA AVENUE, SUITE 210, CINCINNATI, OH 45207
(513) 351-1200
(513) 351-1580
Mailing address
2135 DANA AVENUE, SUITE 210, CINCINNATI, OH 45207
(513) 351-1200
(513) 351-1580
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35058680
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000015846
ANTHEM
OH
01
—
0420591
UHC
OH
01
—
5868001
HUMANA
OH
Enumeration date
07/11/2006
Last updated
08/14/2008
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