Individual
DR. TIMOTHY DANIEL DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2793 TAYLOR ROAD EXT, REYNOLDSBURG, OH 43068-9549
(614) 367-1025
(614) 367-1028
Mailing address
4015 EASTON WAY, COLUMBUS, OH 43219
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4448
OH
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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