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NPI Code Detail

MEDICARE: MARY CAREY MACDONALD M.D.

MEDICARE:   MARY CAREY MACDONALD  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
1208600000XSurgery Physician350749OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1841373362
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY CAREY MACDONALD M.D.
Provider Business Mailing Address
First Line : PO BOX 72098
Second Line :
City : CLEVELAND
State : OH
Zip : 44192-0002
Country : US
Telephone Number : 419-281-0451
Fax Number : 419-281-9339
Provider Business Practice Location Address
First Line : 2212 MIFFLIN AVE STE 220
Second Line :
City : ASHLAND
State : OH
Zip : 44805-8846
Country : US
Telephone Number : 419-281-0451
Fax Number : 419-207-2641
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2006
Last Update Date : 03/29/2026

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Directions to “ MARY CAREY MACDONALD M.D.” Practice Location

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