Individual
DR. MATTHEW C MCDONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
970 EAST WASHINGTON STREET, SUITE 6A, MEDINA, OH 44256
(330) 723-6673
(330) 764-9832
Mailing address
970 EAST WASHINGTON STREET, SUITE 6A, MEDINA, OH 44256
(330) 723-6673
(330) 764-9832
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
35-05-9577
OH
207Y00000X
Otolaryngology Physician
35059577
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0828886
—
OH
Enumeration date
08/03/2005
Last updated
03/12/2012
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