Individual
COREY MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10015 SOMERSET AVE, DETROIT, MI 48224-2597
(313) 424-3457
Mailing address
10015 SOMERSET AVE, DETROIT, MI 48224-2597
(313) 424-3457
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
M235122157417
MI
Other
Enumeration date
01/13/2016
Last updated
01/13/2016
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