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NPI Code Detail

MEDICARE: DR. MICHAEL HEALY MCDONALD M.D.

MEDICARE: DR. MICHAEL HEALY MCDONALD M.D.
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
1207YX0905XOtolaryngology/Facial Plastic Surgery Physician19788-020WI

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1040004902OTHERWIRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2100403OTHERWIPHYSICIANS PLUS INS CO
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4564927OTHERWIDEAN HEALTH PLAN VENDOR #

General Provider Information

NPI Number : 1619157161
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL HEALY MCDONALD M.D.
Provider Business Mailing Address
First Line : 1812 WAUNONA WAY
Second Line :
City : MADISON
State : WI
Zip : 53713-1612
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6408 COPPS AVE
Second Line :
City : MONONA
State : WI
Zip : 53716-3702
Country : US
Telephone Number : 608-417-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2007
Last Update Date : 04/07/2026

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