MEDICARE: DR. ANN M MCLEAN DO

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	2084N0400X	Neurology Physician	34005400	OH

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	:	1851452510
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANN M MCLEAN DO

Provider Business Mailing Address
First Line	:	700 ACKERMAN RD
Second Line	:	SUITE 570
City	:	COLUMBUS
State	:	OH
Zip	:	43202-1559
Country	:	US
Telephone Number	:	614-870-3669
Fax Number	:	614-870-3449

Provider Business Practice Location Address
First Line	:	5109 W BROAD ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43228-1648
Country	:	US
Telephone Number	:	614-870-3669
Fax Number	:	614-870-3449

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

Provider Enumeration Date	:	12/13/2006
Last Update Date	:	01/04/2018

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Directions to “ DR. ANN M MCLEAN DO” Practice Location

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