Individual
SEAN M O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
35 MILES ST, DAMARISCOTTA, ME 04543-4047
(207) 563-4146
(207) 563-3717
Mailing address
35 MILES ST, DAMARISCOTTA, ME 04543-4047
(207) 563-4146
(207) 563-3717
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD14975
ME
208M00000X
Hospitalist Physician
014975
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271000099
—
ME
Enumeration date
07/09/2005
Last updated
10/22/2019
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