Individual
MAXWELL MCDONALD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
25 CONRAN DR STE B, COOPERSVILLE, MI 49404-1366
(616) 267-7860
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101020884
MI
Other
Enumeration date
03/31/2014
Last updated
03/03/2021
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