Individual
MR. PATRICK MICHAEL MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.A.D.C.
Contact information
Practice address
2055 WHITE BEAR AVE N, MAPLEWOOD, MN 55109-3716
(651) 209-0560
Mailing address
2275 HENRY ST N, NORTH SAINT PAUL, MN 55109-3337
(651) 278-2894
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
302376
MN
Other
Enumeration date
08/11/2011
Last updated
08/11/2011
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