Healthcare Provider Details

I. General information

NPI: 1306763842
Provider Name (Legal Business Name): ALEX MCLEAN DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7073 FORTHUN RD
BAXTER MN
56425-8700
US

IV. Provider business mailing address

7180 NOVOTNY RD APT 216
BRAINERD MN
56401-6843
US

V. Phone/Fax

Practice location:
  • Phone: 217-454-4545
  • Fax:
Mailing address:
  • Phone: 563-449-2850
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number7447
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: