Individual
MICHAEL MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
410 SAYBROOK RD, SUITE 201, MIDDLETOWN, CT 06457-4777
(860) 347-4620
(860) 346-9687
Mailing address
410 SAYBROOK RD, SUITE 201, MIDDLETOWN, CT 06457-4777
(860) 347-4620
(860) 346-9687
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000870
CT
Other
Enumeration date
11/10/2005
Last updated
03/25/2015
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