Individual
DR. PATRICK MICHAEL MCDONOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
835 S VAN BUREN ST, GREEN BAY, WI 54301-3526
(920) 496-4700
Mailing address
835 S VAN BUREN ST, GREEN BAY, WI 54301-3526
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
52456
WI
390200000X
Student in an Organized Health Care Education/Training Program
0116016385
VA
Other
Enumeration date
05/31/2007
Last updated
11/01/2010
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