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Individual

DR. MICHAEL JOSEPH DONALD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4864 JACKSON ST, MONROE, LA 71202-6400
(318) 330-7000
Mailing address
1541 KINGS HIGHWAY, ATTN: PAYOR CREDENTIALING, SHREVEPORT, LA 71103-4228

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
340361
LA
207Q00000X
Family Medicine Physician
340361
LA

Other

Enumeration date
04/06/2020
Last updated
08/21/2025
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