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Individual

DR. WILLIAM ELLIS DONAHUE JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1013 ROCKSIDE RD STE B, PARMA, OH 44134-2700
(216) 459-8616
(216) 459-0373
Mailing address
PO BOX 378, SANDUSKY, OH 44871-0378

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36002283
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000137360
UNICARE
OH
01
000000564725
ANTHEM BLUE CROSS BLUE SHIELD
OH
01
000000564755
ANTHEM BLUE CROSS BLUE SHIELD
OH
05
0598974
OH
01
350891
STAYWELL HEALTH/WELLCARE
OH
Enumeration date
08/24/2005
Last updated
03/16/2018
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