Individual
MICAH DANIEL MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1001 SAM PERRY BLVD, FREDERICKSBURG, VA 22401-4453
(540) 741-1100
Mailing address
202 FREDERICK ST, FREDERICKSBURG, VA 22401-6024
(757) 537-6427
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110006139
VA
363AM0700X
Medical Physician Assistant
MA056798
PA
Other
Enumeration date
07/05/2011
Last updated
08/06/2026
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