Healthcare Provider Details

I. General information

NPI: 1801152715
Provider Name (Legal Business Name): MICHAEL AHREN MCCLURE L.AC. DIPL. AC.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/04/2012
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27344 LORAIN RD
NORTH OLMSTED OH
44070-4034
US

IV. Provider business mailing address

27344 LORAIN RD
NORTH OLMSTED OH
44070-4034
US

V. Phone/Fax

Practice location:
  • Phone: 937-245-1799
  • Fax:
Mailing address:
  • Phone: 937-245-1799
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number65.000219
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: