Individual
MICHAEL MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22 STATION AVENUE, SUITE 101, BRUNSWICK, ME 04011
(207) 373-6848
(207) 373-6849
Mailing address
22 STATION AVE, SUITE 101, BRUNSWICK, ME 04011-2092
(207) 373-6848
(207) 373-6849
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0155660
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
314110099
—
ME
01
—
AA228143
HARVARD PILGRIM
ME
Enumeration date
09/28/2006
Last updated
02/26/2016
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