Organization
JOHNS S. MAC DONALD, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN S MAC DONALD MD (OWNER)
(989) 224-0646
Entity
Organization
Contact information
Practice address
110 W HIGHAM ST, SAINT JOHNS, MI 48879-1559
(989) 224-0646
(989) 224-0929
Mailing address
110 W HIGHAM ST, SAINT JOHNS, MI 48879-1559
(989) 224-0646
(989) 224-0929
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301038398
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10 2116963
—
MI
Enumeration date
09/26/2006
Last updated
07/09/2010
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