Individual
MR. JOHN WILLIAM MACDONALD IX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
230 HURON AVE, PORT HURON, MI 48060-3822
(810) 966-4459
(810) 985-9498
Mailing address
230 HURON AVE, PORT HURON, MI 48060-3822
(810) 966-4459
(810) 985-9498
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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