Individual
MRS. MICHELLE ANN MCDONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2434 W BELVEDERE AVE, BALTIMORE, MD 21215-5202
(410) 601-2246
Mailing address
2401 W BELVEDERE AVE, ATTN: CREDENTIALING, BALTIMORE, MD 21215-5216
(410) 601-5524
(410) 601-8946
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0001731
MD
Other
Enumeration date
12/07/2005
Last updated
05/09/2008
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