Individual
DR. PERCY MCDONALD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD08
Contact information
Practice address
1107 STONE ST, SUITE 4, PORT HURON, MI 48060-3569
(810) 984-4400
Mailing address
1107 STONE STREET, SUITE 4, PORT HURON, MI 48060
(810) 984-4400
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
4301051044
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1832639
—
MI
Enumeration date
03/08/2006
Last updated
07/08/2007
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