Individual
MICHAEL MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5864 HAYDEN DR, MIDDLETOWN, OH 45042-3109
(937) 550-6186
Mailing address
5864 HAYDEN DR, MIDDLETOWN, OH 45042-3109
(937) 550-6186
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0427035
—
OH
Enumeration date
01/27/2021
Last updated
01/27/2021
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