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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARK JEFFREY MCDONALD, A.T.C.

Active Sole Proprietor

MARK JEFFREY MCDONALD, A.T.C. is a Athletic Trainer healthcare provider located in SOUTHGATE, Michigan. NPI 1114075892 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · SOUTHGATE, MI

Registration Details

NPI Number
1114075892
Provider Type
Individual
Gender
Male
NPI Issued
Jan 8, 2007 (19.594578225486 yrs)
Last Updated
Jul 8, 2007
Sole Proprietor
Yes

Practice Information

Address
15777 NORTHLINE RD
SUITE 102
SOUTHGATE, MI, 481952385
Browse MI providers · Browse ZIP 48195
Phone
7342468125
Fax
7342468113
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in SOUTHGATE, MI

Name Credential NPI
MISS ANNA MARIA NAPOLITANO AT, ATC 1497803621
MS. LISA MARIE HENDRIXON ATC, CSCS 1598813842
MR. WILLIAM PUGH ATC 1801944582
MISS STACY MARIE GUTIERREZ A.T.,C. 1598814840
MR. JEFFREY A KLINE ATC 1760525125
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.