Individual
DR. THOMAS W. DONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-2908
Mailing address
PO BOX 64264, BALTIMORE, MD 21264-4264
(410) 955-2908
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
D40059
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010002028
—
VA
05
—
062051300
—
MD
05
—
1659329977
—
DE
01
—
520338-01
BLUE CROSS/BLUE SHIELD
MD
Enumeration date
05/05/2006
Last updated
02/06/2013
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