Individual
BRIAN J DONELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., F.A.C.C.
Contact information
Practice address
95 ARCH ST, AKRON, OH 44304-1437
(330) 376-7000
(330) 376-1066
Mailing address
PO BOX 3542, AKRON, OH 44309-3542
(330) 996-0347
(330) 996-0359
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35064892
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0221236
—
OH
01
—
4119473
MEDICARE ID
OH
Enumeration date
08/21/2006
Last updated
07/17/2013
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