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Individual

DR. RACHEL DONALDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
19800 WOODWARD AVE, DETROIT, MI 48203-5102
(313) 893-8610
Mailing address
19445 AFTON RD, DETROIT, MI 48203-1437
(313) 574-5430
(734) 353-4108

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
4301406139
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3401030
MI
01
4301406139
STATE LICENSE NUMBER
MI
Enumeration date
09/16/2006
Last updated
11/21/2011
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