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NPI Code Detail

MEDICARE: MARIAH MCDONALD

MEDICARE: MARIAH MCDONALD
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
1247200000XOther Technician

General Provider Information

NPI Number : 1295288850
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIAH MCDONALD
Provider Business Mailing Address
First Line : 138 W HIGHLAND RD STE 500-600
Second Line :
City : HOWELL
State : MI
Zip : 48843-2170
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 138 W HIGHLAND RD STE 500-600
Second Line :
City : HOWELL
State : MI
Zip : 48843-2170
Country : US
Telephone Number : 517-376-4831
Fax Number : 517-376-4833
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2016
Last Update Date : 11/21/2016

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Directions to “ MARIAH MCDONALD ” Practice Location

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