Individual
TEDD MIKEL MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
485 W B ST STE 105, FALLON, NV 89406-2765
(775) 423-6695
(775) 423-8057
Mailing address
4200 SANTA FE DR, FALLON, NV 89406-5248
(775) 217-3095
(775) 423-2707
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
11898
NV
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
11898
NV
Other
Enumeration date
05/27/2005
Last updated
07/25/2022
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