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Organization

CONWAY MCLEAN DPM PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CONWAY T MCLEAN DPM (PHYSICIAN / OWNER)
(906) 225-7707
Entity
Organization

Contact information

Practice address
700 W WASHINGTON ST STE B, MARQUETTE, MI 49855-4164
(906) 225-7707
(906) 225-7710
Mailing address
700 W WASHINGTON ST STE B, MARQUETTE, MI 49855-4164
(906) 225-7707
(906) 225-7710

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
CM002555
MI
261QP1100X
Podiatric Clinic/Center
332B00000X
Durable Medical Equipment & Medical Supplies
CM002555
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CM002555
LICENSE
Enumeration date
03/27/2014
Last updated
09/06/2023
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