Stephen Lee Mcclellan, MD | |
N4656 Lakeshore Dr, Kewaunee, WI 54216-9794 | |
(920) 388-0569 | |
(920) 388-2760 |
Full Name | Stephen Lee Mcclellan |
---|---|
Gender | Male |
Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
Location | N4656 Lakeshore Dr, Kewaunee, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023314549 | NPI | - | NPPES |
043981900 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 22454-20 (Wisconsin) | Primary |
Mailing Address | Practice Location Address |
---|---|
Stephen Lee Mcclellan, MD Po Box 191, Kewaunee, WI 54216-0191 Ph: (920) 388-0569 | Stephen Lee Mcclellan, MD N4656 Lakeshore Dr, Kewaunee, WI 54216-9794 Ph: (920) 388-0569 |
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