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NPI Code Detail

MEDICARE: DR. JOSEPH ALLEN MCLEAN MD

MEDICARE: DR. JOSEPH ALLEN MCLEAN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician30146WI

General Provider Information

NPI Number : 1598715732
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH ALLEN MCLEAN MD
Provider Business Mailing Address
First Line : PO BOX 80257
Second Line :
City : MILWAUKEE
State : WI
Zip : 53208-8004
Country : US
Telephone Number : 414-935-8000
Fax Number : 414-344-3350
Provider Business Practice Location Address
First Line : 6351 E SUPERIOR ST
Second Line :
City : DULUTH
State : MN
Zip : 55804-2545
Country : US
Telephone Number : 218-249-4500
Fax Number : 218-249-4555
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2006
Last Update Date : 03/01/2017

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