Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 266527 | MA |
N | 207X00000X | Orthopaedic Surgeon | MT196787 | PA |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | 266527 | MA |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 266527 | MA |
NPI | 1609162577 |
---|---|
Provider Name | Michael Patrick Mcclincy |
First Address | Pittsburgh, PA 15224 |
Second Address | Pittsburgh, PA 15224 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2011 |
Last Update Date | 19/07/2018 |