Individual
MR. MICHAEL B MCLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1818 N MEADE ST, APPLETON, WI 54911-3454
(920) 731-4101
Mailing address
2109B E CAPITOL DR # 1, APPLETON, WI 54911-8726
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
13362-33
WI
367500000X
Certified Registered Nurse Anesthetist
2022007424
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
910106942
—
MO
Enumeration date
07/01/2021
Last updated
01/08/2026
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