Individual
DONALD NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
30200 TELEGRAPH RD, SUITE 220, BINGHAM FARMS, MI 48025-4502
(248) 258-5058
Mailing address
20807 REVERE ST, ST CLAIR SHORES, MI 48080-1124
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4704136409
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104846914
—
MI
Enumeration date
05/04/2006
Last updated
07/08/2007
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