Individual
DR. DONTA MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
632 N DIBBLE AVE, LANSING, MI 48917-2830
(517) 323-2382
Mailing address
3505 W CLARK RD APT N206, DEWITT, MI 48820-9442
(313) 461-4517
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302412920
MI
Other
Enumeration date
10/04/2020
Last updated
10/04/2020
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