Individual
DR. JANICE L MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1675 LEAHY ST, SUITE 428, MUSKEGON, MI 49442-5500
(231) 672-3300
(231) 672-3380
Mailing address
PO BOX 1847, MUSKEGON, MI 49443-1847
(231) 727-4444
(231) 727-4451
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
JM008638
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
433624011
—
MI
01
—
MI4161002
MEDICARE PTAN
MI
01
—
N27530074
MEDICARE
MI
Enumeration date
06/15/2005
Last updated
07/11/2016
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