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NPI Code Detail

MEDICARE: GENA MCDONALD

MEDICARE: GENA MCDONALD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1114876224
Entity Type Code : Individual
Provider Name (Legal Business Name) : GENA MCDONALD
Provider Business Mailing Address
First Line : 4650 WAYMIRE AVE
Second Line :
City : DAYTON
State : OH
Zip : 45406-2444
Country : US
Telephone Number : 937-998-8009
Fax Number :
Provider Business Practice Location Address
First Line : 500 MADISON AVE STE 200
Second Line :
City : TOLEDO
State : OH
Zip : 43604-1230
Country : US
Telephone Number : 937-998-8009
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2026
Last Update Date : 01/23/2026

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Directions to “ GENA MCDONALD ” Practice Location

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