Individual
MR. MICHAEL ERIK MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
800 WASHINGTON ST, BOX 369, BOSTON, MA 02111-1552
(617) 636-2395
(617) 636-1465
Mailing address
800 WASHINGTON ST, BOX 369, BOSTON, MA 02111-1552
(617) 636-2395
(617) 636-1465
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA4504
MA
Other
Enumeration date
09/13/2012
Last updated
11/01/2013
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