Individual
DR. DONOVAN BLACKWOOD JEFFCOAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1150 E SHERMAN BLVD, SUITE 2400, MUSKEGON, MI 49444
(231) 728-4601
(231) 728-4783
Mailing address
1150 E SHERMAN BLVD STE 2400, MUSKEGON, MI 49444-1886
(231) 672-6336
(231) 672-6335
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
5101021948
MI
Other
Enumeration date
06/27/2015
Last updated
12/22/2021
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