Healthcare Provider Details

I. General information

NPI: 1578187175
Provider Name (Legal Business Name): BRITTNI MCCLELLAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/31/2020
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16001 W 9 MILE RD # RS
SOUTHFIELD MI
48075-4818
US

IV. Provider business mailing address

3090 HIGHWAY 280 E APT 1115
VESTAVIA AL
35243-2706
US

V. Phone/Fax

Practice location:
  • Phone: 248-849-3000
  • Fax:
Mailing address:
  • Phone: 931-335-3350
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number1578187175
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number4351046772
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: