Individual
DR. MICHAEL J O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
327 N WASHINGTON AVE, STE 200, SCRANTON, PA 18503-1535
(570) 961-5522
(570) 207-5579
Mailing address
327 N WASHINGTON AVE, STE 200, SCRANTON, PA 18503-1535
(570) 961-5522
(570) 207-5579
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
MD041957E
PA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
MD041957E
PA
Other
Enumeration date
05/31/2005
Last updated
02/26/2015
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