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Individual

MELISSA MCDONALD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4401 HARRISON BLVD, OGDEN, UT 84403-3195
(801) 387-3364
Mailing address
1500 E MEDICAL CENTER DR, 1914 TAUBMAN CENTER SPC 5316, ANN ARBOR, MI 48109-5000

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
10432965-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
4301102803
MI

Other

Enumeration date
05/17/2013
Last updated
09/12/2017
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