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Individual

GREGORY MICHAEL MCDONNELL

Active
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Individual

GREGORY MICHAEL MCDONNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
4112
OH
111N00000X
Chiropractor
Primary
4979
MN
171100000X
Acupuncturist
1074
MN
171100000X
Acupuncturist
ACPU-00177
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3138456
—
OH
Enumeration date
03/30/2009
Last updated
11/30/2023
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