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NPI Code Detail

MEDICARE: DONALD JAMES MCKEEL D.O., F.A.C.O.G.

MEDICARE: DONALD JAMES MCKEEL D.O., F.A.C.O.G.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician5101014042MI

General Provider Information

NPI Number : 1194715250
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONALD JAMES MCKEEL D.O., F.A.C.O.G.
Provider Business Mailing Address
First Line : 1800 WILDERNESS DR
Second Line :
City : DEWITT
State : MI
Zip : 48820-7991
Country : US
Telephone Number : 618-975-2404
Fax Number :
Provider Business Practice Location Address
First Line : 181 EMMETT ST W
Second Line :
City : BATTLE CREEK
State : MI
Zip : 49037-2963
Country : US
Telephone Number : 269-441-3443
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/28/2005
Last Update Date : 01/27/2014

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