Individual
JACOB IAN MACLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7985 S MACKINAW TRL, CADILLAC, MI 49601
(231) 876-6200
Mailing address
1105 SIXTH ST, TRAVERSE CITY, MI 49684-2290
(231) 935-5000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101028074
MI
207Q00000X
Family Medicine Physician
75601
WI
Other
Enumeration date
04/16/2018
Last updated
06/05/2024
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