Individual
MICHAEL MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
827 LINDEN AVE, BALTIMORE, MD 21201-4606
(410) 225-8000
Mailing address
PO BOX 64522, BALTIMORE, MD 21264-4522
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MD
Other
Enumeration date
09/01/2010
Last updated
09/01/2010
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