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Individual

ROBERT S MCDONALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2700 W 9TH AVE, STE 310, OSHKOSH, WI 54904-7247
(920) 223-3550
Mailing address
2700 W 9TH AVE, STE 310, OSHKOSH, WI 54904-7247
(920) 223-3550

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
28260
WI
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
28260
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
31836600
WI
Enumeration date
09/09/2005
Last updated
09/04/2008
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