Individual
DR. DENNIS MICHAEL O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
419 N. GRANDVIEW AVE., STE 200, DUBUQUE, IA 52001
(563) 585-0800
Mailing address
419 N. GRANDVIEW AVE., STE 200, DUBUQUE, IA 52001
(563) 585-0800
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06994
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0456228
—
IA
01
—
37997
WELLMARK
IA
Enumeration date
01/10/2007
Last updated
07/08/2007
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