Provider Demographics
NPI:1306884960
Name:MACDONALD, MARGARET ETHEL (MD)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:ETHEL
Last Name:MACDONALD
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3107 W COLORADO AVE
Mailing Address - Street 2:#275
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80904-2040
Mailing Address - Country:US
Mailing Address - Phone:719-249-0217
Mailing Address - Fax:719-982-0035
Practice Address - Street 1:1115 ELKTON DR STE 301
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-3884
Practice Address - Country:US
Practice Address - Phone:719-249-0217
Practice Address - Fax:719-982-0035
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2025-03-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CODR.0046964208D00000X
CAC50472208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH38417Medicare UPIN