Individual
MR. MICHAEL JAMES MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CO
Contact information
Practice address
3303 HEALY DR, WINSTON SALEM, NC 27103-1478
(336) 765-2425
(336) 765-8370
Mailing address
498 DEEP RAVINE CT, WINSTON SALEM, NC 27103-6083
(336) 414-9198
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
Other
Enumeration date
09/07/2007
Last updated
09/07/2007
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