Individual
MICHAEL ALAN MACDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19 LANDRY ST APT 1N, BRISTOL, CT 06010-6220
(860) 259-8633
Mailing address
19 LANDRY ST APT 1N, BRISTOL, CT 06010-6220
(860) 259-8633
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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