Individual
DR. HEIDI B DONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3025 GOVERNORS PLACE BLVD, DAYTON, OH 45409-1330
(937) 293-5567
(937) 293-5568
Mailing address
830 OAKWOOD AVE, OAKWOOD, OH 45419-2937
(937) 643-9213
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
35073167
OH
Other
Enumeration date
05/30/2006
Last updated
05/08/2012
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