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NPI Code Detail

MEDICARE: DR. JEFFREY JAMES MACLEAN MD

MEDICARE: DR. JEFFREY JAMES MACLEAN 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
12085R0202XDiagnostic Radiology Physician4351043767MI
22085R0202XDiagnostic Radiology Physician35.147805OH
3207R00000XInternal Medicine Physician4301115998MI
42085R0202XDiagnostic Radiology Physician77011TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15315094049OTHERMIPHARMACY (CS-1)
24301115998OTHERMIMEDICINE (MEDICAL DOCTOR - EDUCATIONAL LIMITED)

General Provider Information

NPI Number : 1760976955
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFFREY JAMES MACLEAN MD
Provider Business Mailing Address
First Line : 9500 EUCLID AVE # L10
Second Line :
City : CLEVELAND
State : OH
Zip : 44195-0001
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9500 EUCLID AVE # L10
Second Line :
City : CLEVELAND
State : OH
Zip : 44195-0001
Country : US
Telephone Number : 248-858-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2018
Last Update Date : 05/12/2026

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Directions to “ DR. JEFFREY JAMES MACLEAN MD” Practice Location

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