Individual
DR. MICHAEL FRANCIS MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14800 FARMINGTON RD, SUITE 108, LIVONIA, MI 48154-5461
(734) 261-7401
(734) 261-7417
Mailing address
31157 WOODWARD AVE, ROYAL OAK, MI 48073-0996
(248) 336-0123
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
4301076083
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0425310001
DMERC-OAKLAND OFFICE
MI
01
—
0425310002
DMERC-LIVONIA OFFICE
MI
01
—
0425310003
DMERC-MACOMB OFFICE
MI
01
—
0425310004
DMERC-WARREN OFFICE
MI
05
—
105177953
—
MI
01
—
3400827488
BLUE CROSS BLUE SHEILD
MI
01
—
382032989
COMMERCIAL
MI
01
—
MM076083
BLUE CROSS BLUE SHEILD
MI
Enumeration date
10/16/2006
Last updated
07/16/2015
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