Individual
DR. TIMOTHY B O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
156 SAGAMORE PKWY W STE A, WEST LAFAYETTE, IN 47906-1569
(765) 204-1122
(765) 205-8322
Mailing address
156 SAGAMORE PKWY W STE A, WEST LAFAYETTE, IN 47906-1569
(765) 204-1122
(765) 205-8322
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11014237A
IN
Other
Enumeration date
07/23/2008
Last updated
12/06/2020
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