Individual
DR. MICHAEL A ODONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 384-6981
(319) 356-3900
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 384-6981
(319) 356-3900
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
33583
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0212456
—
IA
01
—
19984
WELLMARK BCBS
IA
Enumeration date
08/09/2005
Last updated
12/13/2007
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