Individual
DONOVAN D TEEL II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 E APPLE ST, SUITE 6258, DAYTON, OH 45409-2939
(937) 208-5300
(937) 208-5650
Mailing address
30 E APPLE ST, SUITE 6258, DAYTON, OH 45409-2939
(937) 208-5300
(937) 208-5650
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35.086270
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02 GENERAL SURGEON
MEDICARE SPECIALITY DESIGNATION CODE
OH
05
—
2594287
—
OH
Enumeration date
05/24/2006
Last updated
08/18/2014
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