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NPI Code Detail

MEDICARE: ROBERT L DONNELL MD

MEDICARE: ROBERT L DONNELL MD
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
1207RH0003XHematology & Oncology Physician4301073896MI

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 : 1700874542
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT L DONNELL MD
Provider Business Mailing Address
First Line : PO BOX 779
Second Line :
City : TAWAS CITY
State : MI
Zip : 48764-0779
Country : US
Telephone Number : 989-362-9433
Fax Number : 989-362-9454
Provider Business Practice Location Address
First Line : 200 HEMLOCK ST
Second Line :
City : TAWAS CITY
State : MI
Zip : 48763-9237
Country : US
Telephone Number : 989-362-9433
Fax Number : 989-362-9454
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2005
Last Update Date : 02/23/2023

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Directions to “ ROBERT L DONNELL MD” Practice Location

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