Individual
CHERYL F MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4025 HEALTH PARK LN, SAINT JOSEPH, MI 49085-3421
(269) 429-7100
(269) 429-1959
Mailing address
4025 HEALTH PARK LN, SAINT JOSEPH, MI 49085-3421
(269) 429-7100
(269) 429-1959
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4301051724
MI
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
051724
MI
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
4301051724
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4730712
—
MI
05
—
4730730
—
MI
01
—
CM051724
BC/BS
MI
Enumeration date
06/07/2006
Last updated
04/29/2014
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