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Individual

MR. DONALD MICHAEL CLEMENTE JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2183 NEWBURGH DR, TROY, MI 48083-2524
(248) 528-2599
(248) 528-2599
Mailing address
2183 NEWBURGH DR, TROY, MI 48083-2524
(248) 528-2599
(248) 528-2599

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901001978
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4467304
MI
01
4856352060
BCBS OF MICHIGAN
MI
Enumeration date
08/23/2007
Last updated
08/23/2007
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