Individual
THOMAS MACDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
656 KENNY LN, MARYSVILLE, OH 43040-1389
(937) 516-5720
Mailing address
656 KENNY LN, MARYSVILLE, OH 43040-1389
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/29/2019
Last updated
12/29/2019
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