Provider Demographics
NPI:1427187152
Name:MACDONALD, RUSSELL DAVID (MD MPH)
Entity Type:Individual
Prefix:DR
First Name:RUSSELL
Middle Name:DAVID
Last Name:MACDONALD
Suffix:
Gender:M
Credentials:MD MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14375 8TH CONCESSION
Mailing Address - Street 2:RR #1
Mailing Address - City:SCHOMBERG
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:L0G1T0
Mailing Address - Country:CA
Mailing Address - Phone:905-859-1551
Mailing Address - Fax:
Practice Address - Street 1:ORNGE TRANSPORT MEDICINE
Practice Address - Street 2:20 CARLSON COURT, SUITE 400
Practice Address - City:TORONTO
Practice Address - State:ONTARIO
Practice Address - Zip Code:M9W 7K6
Practice Address - Country:CA
Practice Address - Phone:647-428-2034
Practice Address - Fax:647-428-2006
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA154068207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services