Individual
DR. JOSEPH R. O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
414 PLYMOUTH AVE NE, GRAND RAPIDS, MI 49505-6038
(616) 454-3465
(616) 454-9004
Mailing address
414 PLYMOUTH AVE NE, GRAND RAPIDS, MI 49505-6038
(616) 454-3465
(616) 454-9004
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
032226
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1845940
—
MI
Enumeration date
10/18/2006
Last updated
07/09/2007
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