Individual
DR. ANDREW J MCLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2624 9TH AVE S, FARGO, ND 58103-2350
(701) 298-4500
(701) 298-4400
Mailing address
2624 9TH AVE S, FARGO, ND 58103-2350
(701) 298-4500
(701) 298-4400
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ND 6489
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011578
BCBS OF ND PIN
ND
01
—
4H106MC
BCBS OF MN PIN
MN
Enumeration date
07/07/2006
Last updated
07/09/2007
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