Individual
DAVID MICHAEL MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2002 S 11TH ST, NILES, MI 49120-4074
(269) 687-0200
Mailing address
2002 S 11TH ST, NILES, MI 49120-4074
(269) 687-0200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704311330
MI
363LF0000X
Family Nurse Practitioner
28221256A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300067356
—
IN
Enumeration date
06/29/2022
Last updated
08/15/2023
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