Individual
TYRONE MCDONALD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPSS/ CHW
Contact information
Practice address
33505 SCHOOLCRAFT RD, LIVONIA, MI 48150-1630
(734) 721-0200
Mailing address
37450 SCHOOLCRAFT RD, LIVONIA, MI 48150-1082
(734) 458-4601
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/29/2015
Last updated
03/11/2024
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