MEDICARE: GEORGE W MCLEAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician	4159	MT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033131891
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEORGE W MCLEAN MD

Provider Business Mailing Address
First Line	:	210 SUNNYVIEW LN
Second Line	:	STE 105
City	:	KALISPELL
State	:	MT
Zip	:	59901
Country	:	US
Telephone Number	:	406-752-7927
Fax Number	:	406-752-3458

Provider Business Practice Location Address
First Line	:	210 SUNNYVIEW LN
Second Line	:	STE 105
City	:	KALISPELL
State	:	MT
Zip	:	59901
Country	:	US
Telephone Number	:	406-752-7927
Fax Number	:	406-752-3458

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/24/2006
Last Update Date	:	04/19/2026

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