Individual
DR. STUART LEE DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7502 STATE RD, STE. 1180, CINCINNATI, OH 45255-2800
(513) 232-8181
(513) 624-2956
Mailing address
1270 SOLUTIONS CENTER, PO BOX 771270, CHICAGO, IL 60677-1002
(513) 542-6898
(513) 542-7972
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
35061291
OH
2086S0129X
Vascular Surgery Physician
Primary
35061291
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000002198
ANTHEM
OH
01
—
020034065
RAILROAD MEDICARE
OH
01
—
0647990
AETNA
OH
05
—
0836402
—
OH
01
—
299865
AMERIGROUP
OH
01
—
743188
BUCKEYE
OH
Enumeration date
12/28/2005
Last updated
11/22/2011
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