Individual
ELIZA MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPA, AT, ATC
Contact information
Practice address
1 CAMPUS DR, KHS 4418, ALLENDALE, MI 49401-9401
(616) 331-8877
Mailing address
11247 RED HAWK LN, ALLENDALE, MI 49401-8071
(616) 304-1686
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
MI
Other
Enumeration date
12/29/2015
Last updated
12/29/2015
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