Most Relevant Information
Provider Data
| NPI Number: | 1003056771 |
| Provider Name: | MICHELE LEE MACDONNELL R.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | 000862 |
Most Important Dates
| Enumeration Date: | 02/20/2009 |
| Last Updated: | 02/20/2009 |
Provider Practice Location
21 ELM STREET
NEW MILFORD HOSPITAL
NEW MILFORD
CT
06776
Practice Location Phone/Fax
| Phone: | 8603507289 |
| Fax: |
Provider Mailing Location
21 ELM STREET
NEW MILFORD HOSPITAL
NEW MILFORD
CT
06776
Provider Mailing Phone/Fax
| Phone: | 8603507289 |
| Fax: |