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Individual

DR. JANE A MCDONALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3563 PRAIRIEVIEW ST STE 200, GRAND ISLAND, NE 68803-4442
(308) 382-2010
(308) 382-9549
Mailing address
3563 PRAIRIEVIEW ST STE 200, GRAND ISLAND, NE 68803-4442
(308) 382-2010
(308) 382-9549

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19659
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110130898
MEDICARE PIN RAILROAD
NE
05
47071903803
NE
Enumeration date
06/06/2006
Last updated
10/14/2021
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