Most Relevant Information
Provider Data
| NPI Number: | 1003173469 |
| Provider Name: | ELISABETH JEAN MCCLEAN MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | 56640 |
Most Important Dates
| Enumeration Date: | 04/23/2012 |
| Last Updated: | 12/11/2019 |
Provider Practice Location
3850 PARK NICOLLET BLVD
ST LOUIS PARK
MN
554162527
Practice Location Phone/Fax
| Phone: | 9528831000 |
| Fax: |
Provider Mailing Location
3850 PARK NICOLLET BLVD
ST LOUIS PARK
MN
554162527
Provider Mailing Phone/Fax
| Phone: | 9528831000 |
| Fax: |
Suggested EMR
Family Practice EMR