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Individual

MR. JEFFREY DAVID MCDONALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
2333 BIDDLE AVE, WYANDOTTE, MI 48192-4668
(734) 246-7732
Mailing address
22027 FAIRLANE BLVD, WOODHAVEN, MI 48183-1691
(810) 560-5480

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501016014
MI

Other

Enumeration date
03/08/2018
Last updated
03/08/2018
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