Most Relevant Information
Provider Data
| NPI Number: | 1003046996 |
| Provider Name: | MICHAELA ANNE MCLAIN FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | R 161449-5 |
Most Important Dates
| Enumeration Date: | 07/26/2009 |
| Last Updated: | 07/07/2011 |
Provider Practice Location
3300 OAKDALE AVE N
ROBBINSDALE
MN
554222926
Practice Location Phone/Fax
| Phone: | 7635205110 |
| Fax: |
Provider Mailing Location
3300 OAKDALE AVE N
ROBBINSDALE
MN
554222926
Provider Mailing Phone/Fax
| Phone: | 7635205110 |
| Fax: |