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1124080791
MARK G MACDONALD
SAINT PAUL, MN
NPI
1124080791
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MN 40313)
Enumeration Date
2006-04-06
Last Update Date
2018-10-22
Business Address
MARK G MACDONALD MD
1700 UNIVERSITY AVE W FL 1
SAINT PAUL, MN 55104-3727
Phone number: 651-232-2002
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Mailing Address
MARK G MACDONALD MD
1690 UNIVERSITY AVE W SUITE 460
SAINT PAUL, MN 55104-3723
Phone number: 651-232-2002
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