Individual
DR. MICHAEL K MCLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
901 SAINT MARYS DR STE 300, EVANSVILLE, IN 47714-0521
(812) 473-2642
Mailing address
901 SAINT MARYS DR STE 300, EVANSVILLE, IN 47714-0521
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
01070187A
IN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
036-128970
IL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
66594
TN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
A96165
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A96165
MEDICAL LICENSE
CA
Enumeration date
11/01/2006
Last updated
01/27/2023
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