Individual
DR. KEVIN MERLIN O'DONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1221 W LAKE ST STE 201, MINNEAPOLIS, MN 55408-3565
(612) 824-1772
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-9000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
68222
MN
Other
Enumeration date
04/30/2019
Last updated
06/24/2022
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