Individual
MR. DONALD O. CORDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2424 E 8 MILE RD, DETROIT, MI 48234-1010
(313) 366-5100
(313) 366-2246
Mailing address
3031 W GRAND BLVD, DETROIT, MI 48202-3046
(313) 871-0220
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003195
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3324479
—
MI
Enumeration date
10/11/2006
Last updated
07/08/2007
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