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Dr. Michael R Mcnamara, DO
General Practice Physician in Lewiston, Michigan
NPI 1801860440

Michael R Mcnamara is a General Practice Physician based in Gaylord, MI. Michael R Mcnamara practices in Lewiston, MI and has the professional credentials of DO. The NPI Number for Michael R Mcnamara is 1801860440 and holds a License No. 1801860440 (Michigan).

The current practice location address for Michael R Mcnamara is 3040 Bourn St, Lewiston, MI and can be reached out via phone at 989-786-4877 and via fax at 989-786-2187.

Location: 3040 Bourn St, Lewiston, MI, 49735-1595
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801860440
Provider Name
Michael R Mcnamara
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
3040 Bourn St, Lewiston, MI, 49735-1595
Phone Number
989-786-4877
Fax Number
989-786-2187
Provider Enumeration Date
02/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0F96004 01 MI GROUP MEDICARE ID NUMBER
2838664 05 MI
institution
Provider Business Practice Location Address Details
Address
3040 Bourn St
City
Lewiston
State
Michigan
Zip
49756-8134
Phone Number
989-786-4877
Fax Number
989-786-2187
person
Provider Business Mailing Address Details
Address
3040 Bourn St
City
Lewiston
State
Michigan
Zip
49756-8134
Phone Number
989-786-4877
Fax Number
989-786-2187
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
1801860440 (Michigan)
Definition
Definition to come...
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