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Individual

MARIE ANN MCDONALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2561 ELIZABETH LAKE RD, WATERFORD, MI 48328-3313
(248) 682-3300
(248) 682-0026
Mailing address
2561 ELIZABETH LAKE RD, WATERFORD, MI 48328-3313
(248) 682-3300
(248) 682-0026

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
430153905
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3458768
MI
Enumeration date
08/02/2006
Last updated
03/07/2014
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