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1740253301
JEROME MICHAEL MCDONALD
STOCKTON, CA
NPI
1740253301
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
(Licence: CA C52651)
Enumeration Date
2006-02-13
Last Update Date
2025-09-26
Business Address
Dr. JEROME MICHAEL MCDONALD MD
1901 N CALIFORNIA ST
STOCKTON, CA 95204-6005
Phone number: 209-946-6800
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Mailing Address
Dr. JEROME MICHAEL MCDONALD MD
3400 DATA DR ATTENTION: CREDENTIALING AND PAYER ENROLLMENT DEPT
RANCHO CORDOVA, CA 95670
Phone number:
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