Individual
EUGENE M MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
PO BOX 523882, C/O THE MAILBOX #10649, MIAMI, FL 33152-7604
(317) 827-2987
(317) 219-0879
Mailing address
PO BOX 523882, C/O THE MAILBOX #10649, MIAMI, FL 33152-7604
(317) 827-2987
(317) 219-0879
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
07000615A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100123970
—
IN
Enumeration date
07/06/2005
Last updated
08/07/2024
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