Individual
AUSTIN SCOTT MACDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
29188 LANCASTER DR APT 206, SOUTHFIELD, MI 48034-1442
(810) 623-7078
Mailing address
29188 LANCASTER DR APT 206, SOUTHFIELD, MI 48034-1442
(810) 623-7078
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704321259
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
1770155749
MI
Other
Enumeration date
07/10/2021
Last updated
02/28/2023
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