Individual
DOUGLAS C MACKINTOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4079 WEST MARL LAKE DR, ROSCOMMON, MI 48653
(989) 821-6363
Mailing address
4079 WEST MARL LAKE DR, ROSCOMMON, MI 48653
(989) 821-6363
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501008303
MI
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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