Individual
DR. KENT JOSEPH DONELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 BECKER AVE SW, WILLMAR, MN 56201-3302
(320) 231-4500
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
104875
MN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
53314
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
IA
05
—
ENROLLED
—
MN
Enumeration date
08/16/2007
Last updated
10/30/2013
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