Individual
DR. MICHAEL S MCDONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
300 W WASHINGTON AVE, JACKSON, MI 49201-2180
(517) 787-0334
(517) 787-2114
Mailing address
306 W WASHINGTON AVE, STE 102, JACKSON, MI 49201-2176
(517) 787-0334
(517) 787-2114
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MM012522
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114356430
—
MI
Enumeration date
10/24/2005
Last updated
03/11/2008
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