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General NPI Number Information
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NPI Number | 1831276468
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Entity Type | Individual
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Provider Name | MICHAEL K MCLEAN MD
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Gender | Male
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 01/27/2023
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Provider Practice Location Address
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Address Line | 901 SAINT MARYS DR STE 300
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City | EVANSVILLE
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State | IN
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Zip | 47714-0521
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Country | US
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Telephone | 812-473-2642
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Fax |
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Provider Business Mailing Address
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Address Line | 901 SAINT MARYS DR STE 300
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City | EVANSVILLE
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State | IN
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Zip | 47714-0521
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | A96165
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 036-128970
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 66594
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 01070187A
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License Number State | IN
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