Healthcare Provider Details

I. General information

NPI: 1467832816
Provider Name (Legal Business Name): SEAN MCLEAN M.D., FRCPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2015
Last Update Date: 03/05/2024
Certification Date: 03/05/2024
Deactivation Date: 01/14/2016
Reactivation Date: 02/08/2016

III. Provider practice location address

899 WEST 12TH AVENUE, 3RD FLOOR,
VANCOUVER B.C.
V5Z 1M9
CA

IV. Provider business mailing address

899 WEST 12TH AVENUE, 3RD FLOOR,
VANCOUVER B.C.
V5Z 1M9
CA

V. Phone/Fax

Practice location:
  • Phone: 604-875-4304
  • Fax:
Mailing address:
  • Phone: 778-386-6928
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number99999
License Number StateZZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: