Provider Demographics
NPI:1871717470
Name:CLINTON, MEGAN (MD)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:CLINTON
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:420 DELAWARE STREET SE
Mailing Address - Street 2:B515 MAYO MEMORIAL BUILDING, MMC 295
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55455
Mailing Address - Country:US
Mailing Address - Phone:612-624-9990
Mailing Address - Fax:612-626-2363
Practice Address - Street 1:420 DELAWARE STREET SE
Practice Address - Street 2:B515 MAYO MEMORIAL BUILDING, MMC 294
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55455
Practice Address - Country:US
Practice Address - Phone:612-624-9990
Practice Address - Fax:612-626-2363
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2011-09-27
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Provider Licenses
StateLicense IDTaxonomies
MN54075207LP3000X, 207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP3000XAllopathic & Osteopathic PhysiciansAnesthesiologyPediatric Anesthesiology