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Individual

DR. CRAIG MICHEL MCDONALD

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4860 Y ST, SUITE 3850, SACRAMENTO, CA 95817-2307
(916) 734-5291
(916) 734-7838
Mailing address
4860 Y ST, SUITE 3850, SACRAMENTO, CA 95817-2307
(916) 734-5291
(916) 734-7838

Taxonomy

Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
G63830
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G638300
CA
Enumeration date
11/08/2005
Last updated
07/08/2007
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