Doctor Name: | MONTEZ MCDONALD |
NPI Number: | 1720467566 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 2438 Alexander Dr Troy, MI - 480832405 |
Business Phone Number: | 2485242245 |
Business Fax Number: | |
Mailing Address: | 2438 Alexander Dr, TROY |
State: | MI |
Postal Code: | 480832405 |
Phone Number: | 2485242245 |
Fax Number: | |
NPI Enumeration Date: | 05/26/2015 |
NPI Last Update Date: | 05/26/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 247200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Technician, Other |
Taxonomy Specialization: | |
Taxonomy Definition: | A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |