Individual
MR. THOMAS L MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C MPH
Contact information
Practice address
752 N HIGH POINT RD, MADISON, WI 53717-2236
(608) 824-4000
(608) 824-4917
Mailing address
1808 W BELTLINE HWY, MADISON, WI 53713-2334
(608) 250-1497
(608) 250-1384
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
WI
363AM0700X
Medical Physician Assistant
2227
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548321904
—
WI
Enumeration date
12/12/2006
Last updated
08/04/2021
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