Individual
MR. MICHAEL JAMES DONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RNFA
Contact information
Practice address
1441 FLORIDA AVE, MODESTO, CA 95350-4405
(209) 576-3855
Mailing address
2920 ALCOTT CT, MODESTO, CA 95355-9274
(209) 551-5535
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
377442
CA
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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