Organization
MICHAEL H MCDONALD MDSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL H MCDONALD MD (PRESIDENT)
(608) 241-6661
Entity
Organization
Contact information
Practice address
3209 DRYDEN DR, MADISON, WI 53704-3015
(608) 241-6661
(608) 241-6692
Mailing address
3209 DRYDEN DR, MADISON, WI 53704-3015
(608) 241-6661
(608) 241-6692
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
19788-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040004902
RAILROAD MEDICARE
—
01
—
1000403
PHYSICIANS PLUS HMO
WI
05
—
30423300
—
WI
01
—
564927
DEAN HEALTH PLAN VENDOR #
WI
Enumeration date
07/26/2005
Last updated
08/20/2008
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