National Provider Identifier Database

MICHELLE STAM MACLAREN, MD – NPI #1104898063
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.


Contact Information

MICHELLE STAM MACLAREN, MD
2111 COLLEGE DRIVE
REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES
GALLUP, NM87301
Phone: 505-863-1820
Fax:
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for MICHELLE STAM MACLAREN

NPI Number 1104898063
Credentials MD
Entity Individual
Enumeration date 02/06/2006
Last updated 07/09/2007 - About 19 years ago
Sole proprietor1 No
Identifiers
  • NM License #: 98-397
  • AZ Medicaid: 433235
  • NM Medicaid: S7386
  • Other: 85031326887301A127 CHAMPUS
  • NM Other: NM004611 BCBS
  • NM Other: 10002353 LOVELACE HEALTH/SALUD
  • NM Other: PROVP16359 MOLINA
Hospital affiliation n/a

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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