Provider Demographics
NPI:1851452510
Name:MCLEAN, ANN M (DO)
Entity Type:Individual
Prefix:DR
First Name:ANN
Middle Name:M
Last Name:MCLEAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:700 ACKERMAN RD
Mailing Address - Street 2:SUITE 570
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43202-1559
Mailing Address - Country:US
Mailing Address - Phone:614-870-3669
Mailing Address - Fax:614-870-3449
Practice Address - Street 1:5109 W BROAD ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43228-1648
Practice Address - Country:US
Practice Address - Phone:614-870-3669
Practice Address - Fax:614-870-3449
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2018-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH340054002084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0953437Medicaid
OH0953437Medicaid
OHH414110Medicare PIN