Individual
MS. MICHELLE MARLENE MCCLAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2409 DEARBORN AVE STE I, MISSOULA, MT 59801-7586
(406) 549-0777
(406) 549-0386
Mailing address
2409 DEARBORN AVE STE I, MISSOULA, MT 59801-7586
(406) 549-0777
(406) 549-0386
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
13993
MT
Other
Enumeration date
05/27/2009
Last updated
05/27/2009
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