Individual
DR. MICHAEL WHITFIELD MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1153 CENTRE ST, SUITE 4420, JAMAICA PLAIN, MA 02130-3446
(617) 983-4570
Mailing address
111 CYPRESS ST, BROOKLINE, MA 02445-6002
(857) 307-0896
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
77817
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110059738A
—
MA
Enumeration date
09/13/2006
Last updated
07/20/2012
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