Provider Demographics
NPI:1568843142
Name:MCNAUGHTON, DAVID WILLIAM (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:WILLIAM
Last Name:MCNAUGHTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6770 DIXIE HWY STE 303
Mailing Address - Street 2:
Mailing Address - City:CLARKSTON
Mailing Address - State:MI
Mailing Address - Zip Code:48346-2090
Mailing Address - Country:US
Mailing Address - Phone:248-625-0030
Mailing Address - Fax:248-625-4403
Practice Address - Street 1:6770 DIXIE HWY STE 303
Practice Address - Street 2:
Practice Address - City:CLARKSTON
Practice Address - State:MI
Practice Address - Zip Code:48346-2090
Practice Address - Country:US
Practice Address - Phone:248-625-0030
Practice Address - Fax:248-625-4403
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-09
Last Update Date:2019-12-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI430116348207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine