Individual
TIMOTHY P. DONELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6110 S MINNESOTA AVE, SIOUX FALLS, SD 57108-2549
(605) 332-2883
(605) 328-1855
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
(605) 328-6512
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3836
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5608934
—
SD
Enumeration date
07/26/2005
Last updated
03/25/2022
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