# MARY MCDONALD MD SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043224041
- **Authorized official:** HEATHER LENZ (OFFICE MANAGER)
- **Authorized official phone:** (920) 426-2211

## Contact information

- **Practice address:** 2700 W 9TH AVE, SUITE 300, OSHKOSH, WI 54904-7247
- **Practice address phone:** (920) 223-0490
- **Mailing address:** 3420 JACKSON ST, SUITE E, OSHKOSH, WI 54901-8144
- **Mailing address phone:** (920) 426-2211
- **Mailing address fax:** (920) 426-2231

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | 28027020 | WI | Yes |

## Other

- **Enumeration date:** 07/28/2006
- **Last updated:** 10/10/2017