Individual
ANITA S MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2635 UNIVERSITY AVE STE 160, MAIL STOP 13901B, SAINT PAUL, MN 55114-1271
(651) 254-3500
(651) 254-3699
Mailing address
2635 UNIVERSITY AVE W, STE 160, SAINT PAUL, MN 55114-1270
(651) 254-3500
(651) 254-3699
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
45358
MN
Other
Enumeration date
03/31/2006
Last updated
07/10/2014
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