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Individual
DR. ALEXANDER HENRY MACDONELL IV
Active
Individual
DR. ALEXANDER HENRY MACDONELL IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
83899
SC
207X00000X
Orthopaedic Surgery Physician
MD466843
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
838990
—
SC
01
—
SCI3637628
MEDICARE PIN
SC
Enumeration date
05/05/2014
Last updated
02/04/2021
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