# DONNA K MCCLUSKEY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1902885452
- **Gender:** F
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 2743 | SD | — |
| 207Q00000X | Family Medicine Physician | 48303 | MN | — |
| 207Q00000X | Family Medicine Physician | R9F27 | MO | Yes |

## Other

- **Enumeration date:** 01/12/2006
- **Last updated:** 02/11/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5300890 | — | SD |