Individual
MICHAEL J MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
230 MAIN ST, AGAWAM, MA 01001-1838
(413) 789-6800
(413) 789-5171
Mailing address
230 MAIN ST, AGAWAM, MA 01001-1838
(413) 789-6800
(413) 789-5171
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
917
MA
Other
Enumeration date
06/21/2006
Last updated
02/20/2012
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