Individual
DR. TIMOTHY PATRICK O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3600 KOLBE RD STE 205, LORAIN, OH 44053
(440) 960-6431
(440) 960-6435
Mailing address
3600 KOLBE RD STE 205, LORAIN, OH 44053-1677
(440) 960-6431
(440) 960-6435
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
35082804
OH
208C00000X
Colon & Rectal Surgery Physician
Primary
35082804
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2435958
—
OH
Enumeration date
05/24/2005
Last updated
10/07/2019
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