Macdonald, John Thomas

Macdonald, John Thomas is an individual health care provider with primary practice located at 4225 Golden Valley Rd , Golden Valley MN 55422-4215. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, which is considered as his primary health care specialty. Macdonald, John Thomas can be contacted via phone (763) 588-0661.

Contact Information

Primary practice address
4225 Golden Valley Rd Golden Valley MN 55422-4215
Phone: (763) 588-0661
Fax: (763) 287-2310
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 23433 Minnesota

Profile Details

NPI number 1306873625
LBN Legal business name Macdonald, John Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306873625 NPPES
Wisconsin MEDICAID 30229300
Wisconsin Other 0501645
Wisconsin Other 10534MA
Wisconsin Other 24039
Wisconsin Other HP13882
Wisconsin Other 0265010

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