Individual
DR. JOHN M DONATELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9255 ATLANTIC DR SW, CEDAR RAPIDS, IA 52404-8950
(319) 396-2000
(319) 396-5567
Mailing address
9255 ATLANTIC DR SW, CEDAR RAPIDS, IA 52404-8950
(319) 396-2000
(319) 396-5567
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD036513E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001135463 0009
—
PA
Enumeration date
04/19/2006
Last updated
03/27/2017
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