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Individual

MR. MICHAEL J DONESEC

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
5900 CORPORATE DRIVE, SUITE 200, PITTSBURGH, PA 15237-7004
(413) 369-4000
(412) 369-7667
Mailing address
5900 CORPORATE DRIVE, SUITE 200, PITTSBURGH, PA 15237-7004
(413) 369-4000
(412) 369-7667

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA002476L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001459015
BLUE SHIELD PROVIDER #
PA
Enumeration date
08/10/2006
Last updated
04/29/2009
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