NPI 1023314549

Stephen Lee McClellan, MD

Practitioner Anatomic Pathology & Clinical Pathology Physician Kewaunee, WI

Practice location

Address: N4656 Lakeshore Dr, Kewaunee, WI 54216-9794
Phone: (920) 388-0569
Fax: (920) 388-2760
Mailing address: PO Box 191, Kewaunee, WI 54216-0191

Registered specialties

Anatomic Pathology & Clinical Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence 22454-20 (WI)

Other Pathology providers in Wisconsin →

Registry record

NPI: 1023314549
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Jan 2011
Record last updated: 31 Jan 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.