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Individual

DR. BRYAN E. MCDONNELL

Active
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Individual

DR. BRYAN E. MCDONNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
01077245A
IN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
010122217
VA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
01077245A
IN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
4301089061
MI
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD061574L
PA

Other

Enumeration date
07/13/2005
Last updated
10/10/2022
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