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Individual

DR. JOHN B O'DONNELL

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3230 EAGLE PARK DR NE, GRAND RAPIDS, MI 49525-7007
(616) 949-7079
(616) 949-1887
Mailing address
3075 FOXFIRE LN SE, ADA, MI 49301-9351

Taxonomy

Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
JO032725
MI

Other

Enumeration date
06/24/2005
Last updated
07/08/2007
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