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Jacob Ian Maclean, DO
Family Medicine Physician in Manitowoc, Wisconsin
NPI 1902393994

Jacob Ian Maclean is a Family Medicine Physician based in Manitowoc, WI. Jacob Ian Maclean practices in Manitowoc, WI and has the professional credentials of DO. The NPI Number for Jacob Ian Maclean is 1902393994 and holds a License No. (Wisconsin).

The current practice location address for Jacob Ian Maclean is 1650 S 41St St, Manitowoc, WI and can be reached out via phone at 920-320-2436. You can also correspond with Jacob Ian Maclean through the mailing address at PO BOX 2290, MANITOWOC, WI - 54221-2290 (mailing address contact number: ).

Location: 1650 S 41St St, Manitowoc, WI, 54221-2290
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902393994
Provider Name
Jacob Ian Maclean
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1650 S 41St St, Manitowoc, WI, 54221-2290
Phone Number
920-320-2436
Fax Number
Provider Enumeration Date
04/16/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1650 S 41St St
City
Manitowoc
State
Wisconsin
Zip
54220-7316
Phone Number
920-320-2436
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 2290
City
Manitowoc
State
Wisconsin
Zip
54221-2290
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
75601 (Wisconsin)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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