Individual
ANDREA ODONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9795 VILLAGE PLACE BLVD, SOLA STUDIO 15, BRIGHTON, MI 48116-2087
(248) 345-2500
Mailing address
8675 TAMARISK RAVINE CT, PINCKNEY, MI 48169-9386
(124) 834-5250
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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