Individual
MICHAEL R DONNALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 LONDON AVE, MARYSVILLE, OH 43040-3570
(937) 642-5490
(937) 578-2800
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(937) 642-5490
(937) 578-2800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35089324
OH
207RC0000X
Cardiovascular Disease Physician
Primary
35.089324
OH
207RC0000X
Cardiovascular Disease Physician
Primary
35089324
OH
Other
Enumeration date
03/28/2007
Last updated
04/30/2026
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