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Individual

MARY F MCDONALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2700 W 9TH AVE, SUITE 300, OSHKOSH, WI 54904-7247
(920) 223-0490
Mailing address
3420 JACKSON ST, SUITE E, OSHKOSH, WI 54901-8144
(920) 426-2211
(920) 426-2231

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
28027020
WI
207RI0008X
Hepatology Physician
28027020
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30757700
WI
Enumeration date
07/28/2006
Last updated
12/03/2008
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