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Individual

KATHRYN RYAN MCDONALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7655 WHEELER RD, WHITMORE LAKE, MI 48189-9697
(734) 478-9174
Mailing address
7125 ORCHARD LAKE RD, STE 100, WEST BLOOMFIELD, MI 48322-3616
(248) 865-7481

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
04/21/2020
Last updated
07/13/2020
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