Individual
STEPHANIE MICHELLE MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
895 UNION ST STE 12, BANGOR, ME 04401-3054
(207) 973-7979
(207) 947-9579
Mailing address
43 WHITING HILL RD STE 300, BREWER, ME 04412-1006
(207) 973-5035
(207) 973-5042
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/03/2018
Last updated
07/03/2018
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