Individual
DR. BRIAN PATRICK O'DONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
407 US ROUTE 1, FREEPORT, ME 04032-7023
(207) 865-2023
(207) 865-2027
Mailing address
407 US ROUTE 1, FREEPORT, ME 04032-7023
(207) 865-2023
(207) 865-2027
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
MD13824
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010527189
—
ME
Enumeration date
07/24/2006
Last updated
07/15/2019
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