Mclean, Wallace W

Mclean, Wallace W is an individual health care provider with primary practice located at 775 1St Ave N , Naples FL 34102-6005. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Gynecology is his primary health care specialty. Mclean, Wallace W can be contacted via phone (239) 262-3399.

Contact Information

Primary practice address
775 1St Ave N Naples FL 34102-6005
Phone: (239) 262-3399
Fax: (239) 261-1189
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME0025809 Florida
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X ME0025809 Florida

Profile Details

NPI number 1689774390
LBN Legal business name Mclean, Wallace W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2006
Last updated Feb 14th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689774390 NPPES
Florida MEDICAID 035264100
Florida Other 160051557
Florida Other 11094

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