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Organization

DANIEL E MCDONNELL M D P C

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DANIEL E MCDONNELL M.D. (PRESIDENT)
(231) 487-2100
Entity
Organization

Contact information

Practice address
560 W MITCHELL ST, STE 505, PETOSKEY, MI 49770-2275
(231) 487-2100
(231) 487-6049
Mailing address
560 W MITCHELL ST, STE 505, PETOSKEY, MI 49770-2275
(231) 487-2100
(231) 487-6049

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
4301035087
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
104092708
MI
Enumeration date
10/16/2007
Last updated
07/17/2012
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