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Individual

GEORGE V MCDONALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
200 SOMERSET ST, MILLINOCKET UROLOGY, MILLINOCKET, ME 04462-1258
(207) 723-5161
(207) 723-3029
Mailing address
200 SOMERSET ST, MILLINOCKET UROLOGY, MILLINOCKET, ME 04462-1258
(207) 723-5161
(207) 723-3029

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
005867
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
022328
ANTHEM
ME
01
5862648
AETNA US HEALTHCARE
Enumeration date
03/22/2006
Last updated
07/09/2007
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