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Contact Information

KEVIN J MCCLELLAND, MD
1615 MAPLE LN
ASHLAND, WI54806-3610
 Phone: 715-685-5290
 Fax: 715-685-5118
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
Indicates primary specialty

NPI Profile & details for KEVIN J MCCLELLAND · (Male)

NPI # 1003850918
Status Active
Credentials MD
Entity Individual
Enumeration date 06/15/2006
Last updated 05/23/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 33292
  • WI Medicaid 31836700
  • Other 521359 PTAN
Hospital affiliation(s)
  • ASPIRUS GRAND VIEW HOSPITAL - (Critical Access)
    N10561 GRAND VIEW LANE
    IRONWOOD, MI 49938
  • HAYWARD AREA MEMORIAL HOSPITAL - (Critical Access)
    11040 N STATE RD 77
    HAYWARD, WI 54843
  • MEMORIAL MED CTR - (Critical Access)
    1615 MAPLE LANE
    ASHLAND, WI 54806
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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