Individual
W MICHAEL MCDONNELL
Active
Individual
W MICHAEL MCDONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD00035287
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0115863
LABOR AND INDUSTRY
WA
01
—
100010270
RAILROAD MEDICARE
—
05
—
8209629
—
WA
01
—
MD00035287
STATE LICENSE NUMBER
WA
Enumeration date
06/09/2006
Last updated
06/23/2022
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