Dr. Michael R Mcclaid
Family Doctor
1724 W Plymouth St
Bremen
, Indiana 46506-1940
Dr. Michael R Mcclaid
Family Doctor
1724 W Plymouth St
Bremen
, Indiana 46506-1940
(574) 546-2716
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Dr. Michael R Mcclaid
- 1724 W Plymouth St
- Bremen, IN
- Zip : 46506-1940
- Fax : (574) 546-2716
- Phone : (574) 546-3045
Second Address
- Dr. Michael R Mcclaid
- 1724 W Plymouth St
- Bremen, IN
- Zip : 46506-1940
- Fax : (574) 546-2716
- Phone : (574) 546-3045
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 01061391A | IN |
National Provider Identifier
| NPI | 1003831207 |
|---|---|
| Provider Name | Dr. Michael R Mcclaid |
| First Address | Bremen, IN 46506-1940 |
| Second Address | Bremen, IN 46506-1940 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/07/2006 |
| Last Update Date | 05/10/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 200811840 | (05) | IN |
| I65834 | (02) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.