Individual
DR. JOHN MICHAEL DONATELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D, (06/04/2010)
Contact information
Practice address
550 UNIVERSITY BLVD, INDIANAPOLIS, IN 46202-5149
(317) 944-4600
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01076897A
IN
2085R0202X
Diagnostic Radiology Physician
ME 112447
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/01/2010
Last updated
02/08/2021
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