Most Relevant Information
Provider Data
| NPI Number: | 1003325630 |
| Provider Name: | MICHELE RENE MCDONALD NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 341811 |
Most Important Dates
| Enumeration Date: | 09/27/2017 |
| Last Updated: | 09/27/2017 |
Provider Practice Location
800 IRVING AVE
SYRACUSE
NY
132102716
Practice Location Phone/Fax
| Phone: | 3154254400 |
| Fax: |
Provider Mailing Location
4897 VINEGAR HILL RD
ELBRIDGE
NY
130609780
Provider Mailing Phone/Fax
| Phone: | 3158573148 |
| Fax: |