Organization
JOHN CB MCDONALD CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN C.B. MCDONALD D.O. (OWNER)
(269) 925-3232
Entity
Organization
Contact information
Practice address
763 E NAPIER AVE, BENTON HARBOR, MI 49022-6119
(269) 925-3232
(269) 925-9489
Mailing address
763 E NAPIER AVE, BENTON HARBOR, MI 49022-6119
(269) 925-3232
(269) 925-9489
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4347941
—
MI
01
—
95 0A150360
BLUE CROSS BLUE SHIELD
MI
Enumeration date
12/12/2006
Last updated
01/06/2012
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