Johns S. Mac Donald, Md Pc | |
110 W Higham St Saint Johns MI 48879-1559 | |
(989) 224-0646 | |
(989) 224-0929 |
Full Name | Johns S. Mac Donald, Md Pc |
---|---|
Speciality | Internal Medicine |
Location | 110 W Higham St, Saint Johns, Michigan |
Authorized Official Name and Position | John S Mac Donald (OWNER) |
Authorized Official Contact | 9892240646 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Johns S. Mac Donald, Md Pc 110 W Higham St Saint Johns MI 48879-1559 Ph: (989) 224-0646 | Johns S. Mac Donald, Md Pc 110 W Higham St Saint Johns MI 48879-1559 Ph: (989) 224-0646 |
NPI Number | 1548361249 |
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Provider Enumeration Date | 09/26/2006 |
Last Update Date | 07/09/2010 |
Medicare PECOS PAC ID | 7214026319 |
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Medicare Enrollment ID | O20071127000533 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548361249 | NPI | - | NPPES |
10 2116963 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 4301038398 (Michigan) | Primary |
Provider Name | John S Macdonald |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1215038906 PECOS PAC ID: 8224127329 Enrollment ID: I20071127000526 |
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