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Contact Information

MARY MCDONALD MD SC
2700 W 9TH AVE
SUITE 300
OSHKOSH, WI54904-7247
 Phone: 920-223-0490
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
Indicates primary specialty

NPI Profile & details for MARY MCDONALD MD SC

NPI Number 1043224041
LBN Legal business name MARY MCDONALD MD SC
Authorized official HEATHER LENZ - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/28/2006
Last updated 10/10/2017 - About 9 years ago
Identifiers
WI License # 28027020
WI Medicaid 21299800
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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