Individual
DR. CHARLES C MACDONALD II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55510 INDIAN LAKE ROAD, DOWAGIAC, MI 49047
(630) 405-8753
Mailing address
1333 ASHBURY CIR, LEMONT, IL 60439-8433
(630) 405-8753
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
01037362A
IN
2080N0001X
Neonatal-Perinatal Medicine Physician
22066-20
WI
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
4301034118
MI
Other
Enumeration date
02/13/2006
Last updated
03/07/2025
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