Individual
DR. MICHAEL R MCNAMARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3040 BOURN ST, LEWISTON, MI 49756-8134
(989) 786-4877
(989) 786-2187
Mailing address
829 N CENTER AVE, SUITE 298, GAYLORD, MI 49735-1595
(989) 731-7708
(989) 731-7929
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
1801860440
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F96004
GROUP MEDICARE ID NUMBER
MI
05
—
2838664
—
MI
Enumeration date
02/13/2006
Last updated
05/07/2014
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