Macdonald, J Gerard

Macdonald, J Gerard is an individual health care provider with primary practice located at 3501 Cranberry Blvd , Weston WI 54476. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Macdonald, J Gerard can be contacted via phone (715) 847-3665.

Contact Information

Primary practice address
3501 Cranberry Blvd Weston WI 54476
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 43205 Wisconsin

Profile Details

NPI number 1093813834
LBN Legal business name Macdonald, J Gerard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1093813834 NPPES
Wisconsin MEDICAID 34081800

Popular Providers