Individual
MICHAEL DONAHUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED., ATC, LAT
Contact information
Practice address
2785 N ANKENY BLVD STE 16, ANKENY, IA 50023-4705
(515) 964-5000
Mailing address
2620 70TH ST, URBANDALE, IA 50322-4832
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001061
IA
Other
Enumeration date
08/06/2015
Last updated
08/06/2015
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