Individual
DR. KEVIN MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 546-3997
Mailing address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 546-3997
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301059504
MI
Other
Enumeration date
07/25/2006
Last updated
07/11/2007
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