Individual provider · Type 1 NPI

Jacob Xavier McClellan, DO

Student in an Organized Health Care Education/Training Program · Warren, MI

NPI number 1205637469 Active

Practice location

11900 E 12 Mile Rd Ste 205
Warren, MI 48093-3499

Call (586) 582-7033 Map

Fax (586) 200-6944

Mailing address

11800 E 12 Mile Rd
Warren, MI 48093-3472

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1205637469

Jacob Xavier McClellan, DO's National Provider Identifier is 1205637469, issued on Mar 24, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Warren, MI. The record was last updated on Mar 24, 2025.