Individual
ELIZABETH MACDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2305 GENOA BUSINESS PARK DR STE 220, BRIGHTON, MI 48114-7005
(810) 494-6860
(810) 229-7012
Mailing address
24 FRANK LLOYD WRIGHT DR STE J2000, ANN ARBOR, MI 48105-9484
(734) 747-6766
(734) 222-3100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704286809
MI
363LP2300X
Primary Care Nurse Practitioner
Primary
AG071700054
MI
Other
Enumeration date
05/11/2017
Last updated
08/12/2021
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