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Individual

DR. JOSEPH MICHAEL DONLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7950 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4140
(260) 203-9600
Mailing address
10343 DAWSONS CREEK BLVD, SUITE A, FORT WAYNE, IN 46825-1906
(260) 203-9600
(260) 739-6167

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01075089A
IN
390200000X
Student in an Organized Health Care Education/Training Program
4301099474
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201280100
IN
Enumeration date
09/30/2011
Last updated
08/21/2025
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