| Mary Mcdonald Md Sc | |
|
2700 W 9th Ave Suite 300 Oshkosh WI 54904-7247 | |
| (920) 223-0490 | |
| Not Available |
| Full Name | Mary Mcdonald Md Sc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2700 W 9th Ave, Oshkosh, Wisconsin |
| Authorized Official Name and Position | Heather Lenz (OFFICE MANAGER) |
| Authorized Official Contact | 9204262211 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Mcdonald Md Sc 3420 Jackson St Suite E Oshkosh WI 54901-8144 Ph: (920) 426-2211 | Mary Mcdonald Md Sc 2700 W 9th Ave Suite 300 Oshkosh WI 54904-7247 Ph: (920) 223-0490 |
| NPI Number | 1043224041 |
|---|---|
| Provider Enumeration Date | 07/28/2006 |
| Last Update Date | 10/10/2017 |
| Medicare PECOS PAC ID | 0941229108 |
|---|---|
| Medicare Enrollment ID | O20051116000806 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043224041 | NPI | - | NPPES |
| 21299800 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 28027020 (Wisconsin) | Primary |
| Provider Name | Mary F Mcdonald |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699789396 PECOS PAC ID: 0648299818 Enrollment ID: I20051117000145 |
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