NPI 1770557613

Deron Robert McClelland, ATC

Practitioner Athletic Trainer Saline, MI

Practice location

Address: 420 W Russell St Suite 107, Saline, MI 48176-1160
Phone: (734) 429-1595
Fax: (734) 429-0205
Mailing address: 401 Burton St, Clinton, MI 49236-9767

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

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Registry record

NPI: 1770557613
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Feb 2006
Record last updated: 8 Jul 2007

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.