Individual
DR. RUSSELL D DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
56088
MA
207X00000X
Orthopaedic Surgery Physician
LT-3003
NH
207X00000X
Orthopaedic Surgery Physician
MD19308
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780672105
—
ME
Enumeration date
10/10/2005
Last updated
12/18/2020
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