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Nathan Mcdonald
NPI 1689161515 · on the registry since 2018 · sole proprietor
Practice
- Address
- 7020 N Port Washington Rd Ste 216
Glendale, WI 53217 - Phone
- (414) 964-0680
- Clinicians at this address
- 2
Additional practice sites
- 600 Hartbrook Dr Stop 7, Hartland, WI
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-04-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin