Individual provider · NPI-1

Andrew Mccuen, DO

General Practice · Mount Clemens, MI

NPI number1639811185
StatusActive
Last updated in NPPESOct 15, 2025

Details

NPI
1639811185
Entity type
Individual (NPI-1)
Name
Andrew Mccuen
Credential
DO
Sex
Male
Sole proprietor
No
Enumeration date
Apr 13, 2022
Certification date
Oct 15, 2025
Last updated
Oct 15, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208D00000X General Practice5101028986MIYes
207X00000X Orthopaedic Surgery5101028986MI
390200000X Student in an Organized Health Care Education/Training Program–MI

Practice location

1000 Harrington St
Mount Clemens, MI 48043-2920

Phone 586-493-8000

Mailing address

1000 Harrington St
Mount Clemens, MI 48043-2920

Phone 586-493-8000

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