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Individual

MATTHEW DONNELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
4755 OGLETOWN-STANTON RD, NEWARK, DE 19718-0001
(302) 733-1000
Mailing address
255 W MICHIGAN AVE, PO BOX1123, JACKSON, MI 49201-2218
(517) 787-6440

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R164824
MD

Other

Enumeration date
07/06/2007
Last updated
07/08/2007
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