Michael Wayne Mcclellan
Clinical Genetics (M.D.)
Madigan Army Medical Ctr Mchj-Clg
Tacoma
, Washington 98431-0001
Michael Wayne Mcclellan
Clinical Genetics (M.D.)
Madigan Army Medical Ctr Mchj-Clg
Tacoma
, Washington 98431-0001
(253) 853-2720
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About
Features
Specialties
- Clinical Genetics (M.D.)
Languages spoken
- English
Location
First Address
- Michael Wayne Mcclellan
- 3728 30th Avenue Ct Nw
- Gig Harbor, WA
- Zip : 98335-8550
- Phone : (253) 853-2720
Second Address
- Michael Wayne Mcclellan
- Madigan Army Medical Ctr Mchj-Clg
- Tacoma, WA
- Zip : 98431-0001
- Phone : (253) 968-5610
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207SG0201X | Clinical Genetics (M.D.) | MD044161-E | PA |
National Provider Identifier
| NPI | 1306825906 |
|---|---|
| Provider Name | Michael Wayne Mcclellan |
| First Address | Gig Harbor, WA 98335-8550 |
| Second Address | Tacoma, WA 98431-0001 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/01/2006 |
| Last Update Date | 03/05/2013 |
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.