Individual
MR. GREGORY MAURICE MCCLAIN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2585 UNIVERSITY AVE, MADISON, WI 53705-3811
(904) 382-5613
Mailing address
2585 UNIVERSITY AVE, MADISON, WI 53705-3811
(904) 382-5613
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
M2452939533207
WI
Other
Enumeration date
07/02/2022
Last updated
07/02/2022
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