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Contact Information

DONALD M CLEMENTE JR
2183 NEWBURGH DR
TROY, MI48083-2524
 Phone: 248-528-2599
 Fax: 248-528-2599
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for DONALD M CLEMENTE JR · (Male)

NPI Number 1871786707
Status Active
Credentials
Entity Individual
Enumeration date 08/23/2007
Last updated 08/23/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 5901001978
  • MI Medicaid 4467304
  • MI Other 4856352060 BCBS OF MICHIGAN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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