Individual
MICHELE J MACDONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1815 W 6TH AVE, STILLWATER, OK 74074
(405) 743-7300
(405) 743-7225
Mailing address
1815 W 6TH AVE, STILLWATER, OK 74074
(405) 743-7300
(405) 743-7225
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18632
OK
Other
Enumeration date
01/10/2006
Last updated
07/28/2014
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