Michelle Stam-Maclaren, MD

NPI #1104898063 in Gallup, New Mexico

Provider Information

NPI Number: 1104898063
Entity Type: Individual
Name: Michelle Stam-Maclaren, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: MD
Enumeration Date: Feb 6, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 2111 COLLEGE DRIVE
Address 2: REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES
City: Gallup
State: New Mexico
ZIP Code: 87301
Phone: (505) 863-1820

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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