Individual
DR. MARK G MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
801 MEDICAL DR, SUITE A, LIMA, OH 45804-4099
(419) 222-6622
(419) 224-0015
Mailing address
801 MEDICAL DR, SUITE A, LIMA, OH 45804-4099
(419) 222-6622
(419) 224-0015
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35068909 M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000021186
ANTHEM
OH
05
—
0246979
—
OH
Enumeration date
01/20/2006
Last updated
04/01/2010
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